Individual
CHRISTIAN WIEDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
26 POWDERHORN WAY, SANDWICH, MA 02563-2517
(774) 313-7705
Mailing address
26 POWDERHORN WAY, SANDWICH, MA 02563-2517
(774) 313-7705
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9260
MA
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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