Individual
MS. BRIGITTE ERNA WIESCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC NCC MS
Contact information
Practice address
113 LINCOLN WAY EAST, MISHAWAKA, IN 46544-2016
(574) 255-4976
(574) 255-1882
Mailing address
113 LINCOLN WAY EAST, MISHAWAKA, IN 46544-2016
(574) 255-4976
(574) 255-1882
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
39001724A
IN
101YM0800X
Mental Health Counselor
Primary
39001724A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000392933
ANTHEM
IN
Enumeration date
11/13/2006
Last updated
01/19/2008
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