Individual
JEFF D WIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5425 N ORACLE RD # 115, TUCSON, AZ 85704-3890
(520) 742-9166
(520) 742-9146
Mailing address
5425 N ORACLE RD # 115, TUCSON, AZ 85704-3890
(520) 742-9166
(520) 742-9146
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW0712
AZ
Other
Enumeration date
06/30/2006
Last updated
11/30/2007
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