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Individual

MR. CHRISTOPHER J WIEGENSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, LMHC, CDP

Contact information

Practice address
780 SE BAYSHORE DR # 201, OAK HARBOR, WA 98277-5701
(360) 682-5519
Mailing address
PO BOX 891, OAK HARBOR, WA 98277-0891
(360) 682-5519

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
BBH-LAC-LIC-2637
MT
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP.CP.60814286
WA
101YM0800X
Mental Health Counselor
BBH-LCPC-LIC-24040
MT
101YM0800X
Mental Health Counselor
Primary
MHC.LH.60814298
WA

Other

Enumeration date
10/08/2014
Last updated
03/22/2018
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