| NPI | 1679151302 |
|---|---|
| Doing Business As | WISTERIA COUNSELING AND CONSULTING |
| Entity Type | Organization |
| Authorized Contact | HEATHER L DOUGLAS Owner 704-561-1522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2021-04-01 |