Individual
DR. ASHLENN A VON WIEGAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
265 W PIKE ST STE 4, LAWRENCEVILLE, GA 30046-4896
(470) 236-9864
Mailing address
265 W PIKE ST STE 4, LAWRENCEVILLE, GA 30046-4896
(470) 236-9864
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC006291
GA
101YM0800X
Mental Health Counselor
LPC010305
GA
Other
Enumeration date
03/20/2018
Last updated
02/22/2021
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