Individual
JOSEPH PAUL WEIDENBENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C, M.A.
Contact information
Practice address
717 SOUTH BLVD STE 12, BARABOO, WI 53913-3139
(608) 501-2497
Mailing address
724 CORBIN CIR SW, PALM BAY, FL 32908-8175
(608) 370-4169
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4370-125
WI
Other
Enumeration date
10/30/2008
Last updated
07/30/2024
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