Individual
MR. JEFFREY AA WIENEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S
Contact information
Practice address
117 S COOK ST, PMB 327, BARRINGTON, IL 60010-4311
(847) 997-8947
(847) 304-8963
Mailing address
117 S COOK ST, PMB 327, BARRINGTON, IL 60010-4311
(847) 997-8947
(847) 304-8963
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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