Individual
JACQUELINE JEANNE WIELICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
23207 COLUMBIA POINTE LN, ORONDO, WA 98843-9826
(619) 630-5481
Mailing address
23207 COLUMBIA POINTE LN, ORONDO, WA 98843-9826
(619) 630-5481
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
118766
CA
106H00000X
Marriage & Family Therapist
IMF100541
CA
Other
Enumeration date
08/21/2018
Last updated
05/15/2023
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