Organization
MIDWEST COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE ANN WEYDERT LISW (PSYCHOTHERAPIST)
(319) 668-1217
Entity
Organization
Contact information
Practice address
523 1/2 COURT STREET, WILLIAMSBURG, IA 52361
(319) 668-1217
Mailing address
523 1/2 COURT STREET, PO BOX 313, WILLIAMSBURG, IA 52361
(319) 668-1217
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06609
IA
251S00000X
Community/Behavioral Health Agency
06609
IA
Other
Enumeration date
06/07/2011
Last updated
07/14/2011
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