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Individual
MR. JEFFREY PETER WEDGE
Active
Individual
MR. JEFFREY PETER WEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC, MLADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0431
NH
101YM0800X
Mental Health Counselor
Primary
2295
NH
Other
Enumeration date
01/17/2019
Last updated
01/18/2024
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