MRS. LORI MICHELLE WISDOM NPI 1477914281

NPI Information

MRS. Lori Michelle Wisdom is a counselor in Everett, WA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MRS. Lori Michelle Wisdom NPI is 1477914281. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4526 FEDERAL AVE
EVERETT, WA
ZIP 98203-132
Phone: (425) 349-8359
Fax: (425) 349-8348

The enumeration date for this NPI number is 3/8/2016 and was last updated on 3/8/2016.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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