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Individual
MS. KARLA NICHOLE WIEDEL
Active
Individual
MS. KARLA NICHOLE WIEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LIMHP LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
844
NE
101YM0800X
Mental Health Counselor
Primary
1153
NE
101YM0800X
Mental Health Counselor
2579
NE
101YP2500X
Professional Counselor
1414
NE
Other
Enumeration date
11/14/2006
Last updated
12/12/2014
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