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

Joshua Shane Wiseman, LICDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1669960449

Joshua Shane Wiseman, LICDC is an Addiction (Substance Use Disorder) Counselor in Columbus, Ohio. Licensed in Ohio. Registered with an NPI since 2018.

Licensed in
OH
In the registry since
2018

Practice location Address checks out

4725 Parkwick Dr
Columbus, OH 43228-6401
Phone: (614) 655-3354
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LICDC.162064 (OH)

Record details

NPI number1669960449
Entity typeIndividual (Type 1)
GenderMale
Credentials LICDC
Sole proprietorNo
NPI enumeratedApril 26, 2018
Last updated in NPPESSeptember 17, 2020
Certification dateSeptember 17, 2020

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