Individual
ANNA KATHERINE WIEBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4425 W AIRPORT FWY STE 244, IRVING, TX 75062-5958
(972) 953-9895
Mailing address
4425 W AIRPORT FWY STE 244, IRVING, TX 75062-5958
(972) 953-9895
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
76313
TX
Other
Enumeration date
08/02/2016
Last updated
02/17/2020
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