Individual
ANDREA WIELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 DELANEY DR, KAMAS, UT 84036-5093
(303) 257-6473
Mailing address
104 DELANEY DR, KAMAS, UT 84036-5093
(303) 257-6473
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
13509565-2501
UT
Other
Enumeration date
11/01/2023
Last updated
11/04/2023
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