Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Mental Health |
101YM0800X |
| NPI # | 1770282238 |
| LBN Legal business name | WISSERT COACHING AND COUNSELING, LLC |
| Authorized official | THOMAS WISSERT - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/23/2023 |
| Last updated | 02/23/2023 - About 3 years ago |
| Identifiers | n/a |
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