Individual
ANDREA ELIZABETH WIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
601 W NIFONG BLVD STE 1D, COLUMBIA, MO 65203-6804
(573) 228-6702
Mailing address
601 W NIFONG BLVD STE 1D, COLUMBIA, MO 65203-6804
(573) 228-6702
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2023028214
MO
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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