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

Christian Lloyd Samuel Wise

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1588402390

Christian Lloyd Samuel Wise is an Addiction (Substance Use Disorder) Counselor in Mankato, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4

Practice location Address checks out

201 N Broad St Ste 200
Mankato, MN 56001-3569
Phone: (507) 225-1500
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Professional Counselor Taxonomy 101YP2500X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1588402390
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 16, 2024
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024

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