Individual
JESSICA MIRANDA ROSE WEISZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LPCC
Contact information
Practice address
641 VISTA LN, CHEYENNE, WY 82009-3331
(805) 302-4323
Mailing address
641 VISTA LN, CHEYENNE, WY 82009-3331
(805) 302-4323
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
BBH-LCPC-LIC-38202
MT
101YM0800X
Mental Health Counselor
Primary
LPCC10515
CA
101YP2500X
Professional Counselor
2229
WY
101YP2500X
Professional Counselor
BBH-LCPC-LIC-38202
MT
Other
Enumeration date
01/09/2020
Last updated
03/19/2026
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