Lucian Elias Wizer-Green
Counselor, Mental Health in Bellingham, WA. Individual provider (NPI-1).
NPI number1154985232
StatusActive
Last updated in NPPESApr 24, 2019
Details
- NPI
- 1154985232
- Entity type
- Individual (NPI-1)
- Name
- Lucian Elias Wizer-Green
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2019
- Last updated
- Apr 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
609 Northshore DrBellingham, WA 98226-4414
Phone 360-676-6000
Mailing address
609 Northshore DrBellingham, WA 98226-4414
Phone 360-676-6000
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