Individual
ALICIA GONZALEZ WIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2057 N ALBANY AVE APT 2N, CHICAGO, IL 60647-3814
(215) 301-1944
Mailing address
2057 N ALBANY AVE APT 2N, CHICAGO, IL 60647-3814
(215) 301-1944
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
06/13/2022
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