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Individual
THEA WESSEL
Active
Individual
THEA WESSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LAC, MAC, NCAAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0000294
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
MAC 507660
VA
101YP2500X
Professional Counselor
LPC.0011167
CO
Other
Enumeration date
11/05/2015
Last updated
01/21/2016
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