Individual
MR. RICHARD ALAN WIENERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
1500 WALLACE BLVD, AMARILLO, TX 79106-1794
(806) 570-5671
Mailing address
1319 S BEVERLY DR, AMARILLO, TX 79106-5720
(806) 570-5671
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11808
TX
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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