Individual
JENNIFER E WIECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
14300 N NORTHSIGHT BLVD STE 101, SCOTTSDALE, AZ 85260-3673
(602) 550-0175
Mailing address
10136 E SOUTHERN AVE UNIT 1056, MESA, AZ 85209-2739
(319) 432-1351
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-16750
AZ
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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