Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles T Wisneski, MSWLCSW

Individual provider Mental Health Counselor · NPI 1790833069

Charles T Wisneski, MSWLCSW is a Mental Health Counselor in Cottonwood, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007

Practice location Address checks out

703 S Main St Ste 5
Cottonwood, AZ 86326-4615
Phone: (928) 634-0964
Fax: (928) 649-6852
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LCSW-0714 (AZ)

Record details

NPI number1790833069
Entity typeIndividual (Type 1)
GenderMale
Credentials MSWLCSW
Sole proprietorYes
NPI enumeratedJanuary 5, 2007
Last updated in NPPESJuly 8, 2007

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