Individual
KRISTINE LEE WIETHOFF
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
BS, CAC II
Contact information
Practice address
1100 LUDINGTON ST, #401, ESCANABA, MI 49829
(906) 789-1596
(906) 789-2024
Mailing address
1100 LUDINGTON ST, #401, ESCANABA, MI 49829
(906) 789-1596
(906) 789-2024
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/23/2006
Last updated
07/08/2007
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