Individual
LINDA WIEGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
900 SHUGART RD, DALTON, GA 30720-2467
(706) 270-5002
(706) 270-5134
Mailing address
1401 BURLEYSON DR, DALTON, GA 30720-2522
(706) 270-5002
(706) 270-5111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC003636
GA
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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