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

Individual provider Marriage & Family Therapist · NPI 1205460953

Stephanie Nicole Wise, MSCP is a Marriage & Family Therapist in Oakland, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

2828 Ford St
Oakland, CA 94601-2114
Phone: (510) 268-3770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 117908 (CA)

Record details

NPI number1205460953
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCP
Sole proprietorNo
NPI enumeratedMarch 2, 2020
Last updated in NPPESSeptember 1, 2023
Certification dateSeptember 1, 2023

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