VICKI LOU WISE-SMITH

WINCHESTER, VA
NPI1851952964
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA  0710103350)
Enumeration Date2019-06-28
Last Update Date2019-06-28
Business Address
Mrs. VICKI LOU WISE-SMITH
500 PEGASUS CT STE 500
WINCHESTER, VA 22602-4596
Phone number: 540-313-4196
Mailing Address
Mrs. VICKI LOU WISE-SMITH
716 W 13TH ST
FRONT ROYAL, VA 22630-2912
Phone number: 540-535-6196