Individual
JAMIE WEILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CRC, LPC
Contact information
Practice address
1 W 41ST ST STE D, SAND SPRINGS, OK 74063-2726
(918) 215-2444
(918) 514-0133
Mailing address
10166 W 186TH ST S, SAPULPA, OK 74066-5091
(918) 381-0783
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7445
OK
225C00000X
Rehabilitation Counselor
270141
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6J0776
—
OK
Enumeration date
02/25/2020
Last updated
05/15/2025
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