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Individual
MS. PAM WIEBELHAUS
Active
Individual
MS. PAM WIEBELHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0427
CO
101YP2500X
Professional Counselor
Primary
LPC 2060
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136998
—
CO
Enumeration date
05/02/2007
Last updated
12/14/2021
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