Most Relevant Information
Provider Data
| NPI Number: | 1003343112 |
| Provider Name: | SHELBY ANN WISE |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/19/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
1011 10TH AVE SE
OLYMPIA
WA
985011566
Practice Location Phone/Fax
| Phone: | 3608190546 |
| Fax: |
Provider Mailing Location
1011 10TH AVE SE
OLYMPIA
WA
985011566
Provider Mailing Phone/Fax
| Phone: | 3608190546 |
| Fax: |