person
Leticia Wiesner
Mental Health Counselor in San Rafael, California
NPI 1215259783

Leticia Wiesner is a Mental Health Counselor based in Castro Valley, CA and is specialized in Mental Health. Leticia Wiesner practices in San Rafael, CA. The NPI Number for Leticia Wiesner is 1215259783 and holds a License No. (California).

The current practice location address for Leticia Wiesner is 3270 Kerner Blvd, San Rafael, CA and can be reached out via phone at 415-457-6964 and via fax at 415-456-1508.

Location: 3270 Kerner Blvd, San Rafael, CA, 94546-1512
person
Provider Profile Details
NPI Number
1215259783
Provider Name
Leticia Wiesner
Credential
Provider Entity Type
Individual
Gender
Female
Address
3270 Kerner Blvd, San Rafael, CA, 94546-1512
Phone Number
415-457-6964
Fax Number
415-456-1508
Provider Enumeration Date
02/24/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3270 Kerner Blvd
City
State
Zip
94901-4840
Phone Number
415-457-6964
Fax Number
415-456-1508
person
Provider Business Mailing Address Details
Address
3270 Kerner Blvd
City
State
Zip
94901-4840
Phone Number
415-457-6964
Fax Number
415-456-1508
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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