Individual
MS. JOY BERNARD WIETOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT LMHC
Contact information
Practice address
2001 HICKORY TREE RD, SAINT CLOUD, FL 34772-8906
(407) 460-7856
Mailing address
1280 E LAKESHORE BLVD, KISSIMMEE, FL 34744-5416
(407) 892-1791
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH8245
FL
106H00000X
Marriage & Family Therapist
Primary
MT2227
FL
Other
Enumeration date
04/13/2013
Last updated
04/13/2013
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