Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ELIZABETH L. WISE, LCSW
ActiveMRS. ELIZABETH L. WISE, LCSW is a Mental Health Counselor healthcare provider located in PINE MOUNTAIN CLUB, California. NPI 1255833125 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · PINE MOUNTAIN CLUB, CA
Registration Details
- NPI Number
- 1255833125
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 6, 2018 (8.4269301162156 yrs)
- Last Updated
- Sep 17, 2021
- Licenses
-
75984 (CA)99104 (CA)
Practice Information
- Address
-
2500 CEDARWOOD DR.PINE MOUNTAIN CLUB, CA, 932226750Browse CA providers · Browse ZIP 93222
- Phone
- 3104222047
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in PINE MOUNTAIN CLUB, CA
| Name | Credential | NPI |
|---|---|---|
| MR. GEORGE CALASA | LPCC, LCPC, MBTC,NCC | 1013369875 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.