Individual
COREY LYNNE WETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1237 S JACKSON SPRINGS RD APT 1, MACON, GA 31211-1733
(636) 236-1216
Mailing address
1237 S JACKSON SPRINGS RD APT 1, MACON, GA 31211-1733
(636) 236-1216
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180009609
IL
101YM0800X
Mental Health Counselor
Primary
LPC011111
GA
Other
Enumeration date
06/14/2013
Last updated
06/01/2021
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