| Matthew Lee Wise, | |
|
125 S Main Cross St, Louisa, KY 41230-1065 | |
| (606) 638-0938 | |
| (859) 813-5394 |
| Full Name | Matthew Lee Wise |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 125 S Main Cross St, Louisa, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497445860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 273260 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Lee Wise, 125 S Main Cross St, Louisa, KY 41230-1065 Ph: (606) 638-0938 | Matthew Lee Wise, 125 S Main Cross St, Louisa, KY 41230-1065 Ph: (606) 638-0938 |
Lois Michelle Hubbard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Main Cross St, Louisa, KY 41230 Phone: 606-638-0938 | |
Oma Hounshell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 60 Professional Park Dr, Louisa, KY 41230 Phone: 606-638-4332 Fax: 606-638-4394 | |
Charlotte Williamson, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Main Cross St, Louisa, KY 41230 Phone: 606-638-0938 | |
John Stephen Vickers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Main Cross St, Louisa, KY 41230 Phone: 606-638-0938 | |
Teddy Ralston, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Main Cross St, Louisa, KY 41230 Phone: 606-638-0938 Fax: 859-813-5394 | |
Shannon Hautala, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Main Cross St, Louisa, KY 41230 Phone: 606-638-0938 | |
Brandi Dawn Mayes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Main Cross St Ste 202, Louisa, KY 41230 Phone: 606-638-0938 |