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Individual
J.D. WEIDNER
Active
Individual
J.D. WEIDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
FL-MH21136
FL
101YM0800X
Mental Health Counselor
Primary
GA-LPC009051
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC009051
STATE LICENSE
GA
01
—
MH21136
STATE LICENSE
FL
Enumeration date
10/07/2008
Last updated
11/21/2024
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