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Jordan Lewis Wiederstein, LPC
Counselor in San Antonio, Texas
NPI 1255635967

Jordan Lewis Wiederstein is a Counselor based in San Antonio, TX. Jordan Lewis Wiederstein practices in San Antonio, TX and has the professional credentials of LPC. The NPI Number for Jordan Lewis Wiederstein is 1255635967 and holds a License No. 64300 (Texas).

The current practice location address for Jordan Lewis Wiederstein is 1506 Bexar Crossing St, San Antonio, TX and can be reached out via phone at 210-208-5633 and via fax at 210-832-5005.

Location: 1506 Bexar Crossing St, San Antonio, TX, 78232-1587
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255635967
Provider Name
Jordan Lewis Wiederstein
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1506 Bexar Crossing St, San Antonio, TX, 78232-1587
Phone Number
210-208-5633
Fax Number
210-832-5005
Provider Enumeration Date
01/10/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1506 Bexar Crossing St
City
San Antonio
State
Texas
Zip
78232-1587
Phone Number
210-208-5633
Fax Number
210-832-5005
person
Provider Business Mailing Address Details
Address
1506 Bexar Crossing St
City
San Antonio
State
Texas
Zip
78232-1587
Phone Number
210-208-5633
Fax Number
210-832-5005
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
64300 (Texas)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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