Individual
MS. JANE HENNINGER WEILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CACII
Contact information
Practice address
35 N ASH ST, CORTEZ, CO 81321-3201
(970) 565-4109
(970) 565-8804
Mailing address
35 N ASH ST, CORTEZ, CO 81321-3201
(970) 565-4109
(970) 565-8804
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6364
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37129368
—
CO
Enumeration date
03/07/2007
Last updated
07/09/2007
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