person
Douglas Ray Wiese
Addiction (Substance Use Disorder) Counselor in Logan, Utah
NPI 1558577700

Douglas Ray Wiese is an Addiction (Substance Use Disorder) Counselor based in Logan, UT and is specialized in Addiction (Substance Use Disorder). Douglas Ray Wiese practices in Logan, UT. The NPI Number for Douglas Ray Wiese is 1558577700 and holds a License No. 360651-6006 (Utah).

The current practice location address for Douglas Ray Wiese is 655 E 1300 N, Logan, UT and can be reached out via phone at 435-792-6500 and via fax at 435-792-6600.

Location: 655 E 1300 N, Logan, UT, 84341
person
Provider Profile Details
NPI Number
1558577700
Provider Name
Douglas Ray Wiese
Credential
Provider Entity Type
Individual
Gender
Male
Address
655 E 1300 N, Logan, UT, 84341
Phone Number
435-792-6500
Fax Number
435-792-6600
Provider Enumeration Date
05/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
655 E 1300 N
City
State
Zip
84341
Phone Number
435-792-6500
Fax Number
435-792-6600
person
Provider Business Mailing Address Details
Address
655 E 1300 N
City
State
Zip
84341
Phone Number
435-792-6500
Fax Number
435-792-6600
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
360651-6006 (Utah)
Definition
Definition to come...
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