Individual
JACQUELINE WIELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1127 EUCLID AVE APT 906, CLEVELAND, OH 44115-1613
(612) 201-7686
Mailing address
1127 EUCLID AVE APT 906, CLEVELAND, OH 44115-1613
(612) 201-7686
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
IN
104100000X
Social Worker
Primary
S.2106437
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
04/10/2018
Last updated
02/02/2022
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