Wise, Janet M

Wise, Janet M is an individual health care provider with primary practice located at 1302 W Market St , Smithfield NC 27577-3339. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Wise, Janet M can be contacted via phone (919) 989-1786.

Contact Information

Primary practice address
1302 W Market St Smithfield NC 27577-3339
Phone: (919) 989-1786
Fax: (919) 989-1791
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LICENSE# 1117 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LICENSE# 1117 North Carolina

Profile Details

NPI number 1700966611
LBN Legal business name Wise, Janet M
Credentials MSW, CSAC, LCAS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700966611 NPPES
North Carolina Other LICENSE# 1117 CLINICAL ADDICTION SPEC.

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