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Mr. Robert J Wiedeman, LMHC------CADAC
Counselor in Worcester, Massachusetts
NPI 1407863681

Robert J Wiedeman is a Counselor based in Spencer, MA. Robert J Wiedeman practices in Worcester, MA and has the professional credentials of LMHC------CADAC. The NPI Number for Robert J Wiedeman is 1407863681 and holds a License No. 1492 (Massachusetts).

The current practice location address for Robert J Wiedeman is 72 Jaques Ave, Worcester, MA and can be reached out via phone at 508-421-4507 and via fax at 508-860-1068.

Location: 72 Jaques Ave, Worcester, MA, 01562-1431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407863681
Provider Name
Robert J Wiedeman
Credential
LMHC------CADAC
Provider Entity Type
Individual
Gender
Male
Address
72 Jaques Ave, Worcester, MA, 01562-1431
Phone Number
508-421-4507
Fax Number
508-860-1068
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1492 01 MA LMHC
institution
Provider Business Practice Location Address Details
Address
72 Jaques Ave
City
Worcester
State
Massachusetts
Zip
01610-2476
Phone Number
508-421-4507
Fax Number
508-860-1068
person
Provider Business Mailing Address Details
Address
72 Jaques Ave
City
Worcester
State
Massachusetts
Zip
01610-2476
Phone Number
508-421-4507
Fax Number
508-860-1068
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
1492 (Massachusetts)
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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