Individual
JASON WEILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMHC
Contact information
Practice address
1201 1ST ST S, WINTER HAVEN, FL 33880-3904
(863) 294-7062
Mailing address
1201 1ST ST S, WINTER HAVEN, FL 33880-3904
(863) 294-7062
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
14306
FL
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
01/28/2014
Last updated
10/03/2022
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