Individual
LINDA WIESELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSE
Contact information
Practice address
705 DOUGLAS ST, SUITE 350, SIOUX CITY, IA 51101-1048
(712) 490-2515
(712) 277-3173
Mailing address
1003 32ND ST, SIOUX CITY, IA 51104-2734
(712) 490-2515
(712) 277-3173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
00994
IA
101YM0800X
Mental Health Counselor
Primary
01491
IA
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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