SearchIndianaClinical Social Worker

Kristina Wise

NPI 1720155492 · on the registry since 2006

Practice

Address
203 W Wayne St Ste 317
Fort Wayne, IN 46802
Phone
(260) 333-9703
Organisation at this address
June Wellness Llc
Ally Counseling & Consulting, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-06-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana