Individual
CYLIE WIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 COLUMBIA RD APT 10F, BOSTON, MA 02127-4018
(402) 708-7825
Mailing address
1410 COLUMBIA RD APT 10F, BOSTON, MA 02127-4018
(402) 708-7825
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.019564
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/19/2022
Last updated
08/14/2024
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