JOSHUA SHANE WISEMAN LICDC NPI 1669960449

NPI Information

NPI: 1669960449
Provider Name: JOSHUA SHANE WISEMAN, LICDC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
4725 PARKWICK DR
COLUMBUS, OH
ZIP 43228
Phone: (614) 655-3354
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Joshua Shane Wiseman, LICDC is an addiction (substance use disorder) counselor in Columbus, OH. Joshua Shane Wiseman, LICDC NPI is 1669960449. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4725 PARKWICK DR
COLUMBUS, OH
ZIP 43228-401
Phone: (614) 655-3354

The enumeration date for this NPI number is 4/26/2018 and was last updated on 9/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LICDC.162064	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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