Individual
CHRIS WIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3602 16TH ST, COLUMBUS, NE 68601-4164
(402) 564-6622
(402) 562-7239
Mailing address
3602 16TH ST, COLUMBUS, NE 68601-4164
(402) 564-6622
(402) 562-7239
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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