Individual
ERICA BOLIN WESEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9401 SOUTHWEST FWY, HOUSTON, TX 77074-1407
(713) 970-7000
(713) 970-7246
Mailing address
2409 HOMER CLAYTON DR, GUNTERSVILLE, AL 35976-2207
(256) 582-3203
(256) 582-3216
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2337G
AL
104100000X
Social Worker
2337G
AL
1041C0700X
Clinical Social Worker
2248C
AL
1041C0700X
Clinical Social Worker
Primary
57303
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312423201
—
TX
01
—
51541444
BCBS
AL
Enumeration date
06/13/2007
Last updated
05/01/2017
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