NPI 1063456721

Robert Wisdom, LMLPLCP

Practitioner Professional Counselor Manhattan, KS

Practice location

Address: 1558 Hayes Dr, Manhattan, KS 66502-5068
Phone: (785) 587-4315
Fax: (785) 587-4339
Mailing address: PO Box 747, Manhattan, KS 66505-0747

Registered specialties (3)

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 1438 (KS)

Other Counselor providers in Kansas →

Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence 0157 (KS)

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 130 (KS)

Registry record

NPI: 1063456721
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jun 2006
Record last updated: 24 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.