Individual
JOHN WEIDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MACP, LLPC
Contact information
Practice address
9401 N HAGGERTY RD, PLYMOUTH, MI 48170-4696
(734) 927-1201
Mailing address
23115 VALLEY VIEW DR, SOUTHFIELD, MI 48033-3165
(313) 268-0901
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451019720
MI
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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