Individual
JESSICA N WIELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202
(209) 468-8786
Mailing address
3601 PACIFIC AVE, UNIVERSITY OF THE PACIFIC- PSYCHOLOGY DEPT - CRP, STOCKTON, CA 95211-0110
(209) 464-5519
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
173
CA
Other
Enumeration date
12/17/2009
Last updated
08/13/2018
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