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John C Wiesch JR.
Mental Health Counselor in Bettendorf, Iowa
NPI 1578076113

John C Wiesch JR. is a Mental Health Counselor based in East Moline, IA and is specialized in Mental Health. John C Wiesch JR. practices in Bettendorf, IA. The NPI Number for John C Wiesch JR. is 1578076113 and holds a License No. 178.011783 (Iowa).

The current practice location address for John C Wiesch JR. is 2435 Kimberly Rd Ste 270, Bettendorf, IA and can be reached out via phone at 406-220-6262.

Location: 2435 Kimberly Rd Ste 270, Bettendorf, IA, 61244-2410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578076113
Provider Name
John C Wiesch JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2435 Kimberly Rd Ste 270, Bettendorf, IA, 61244-2410
Phone Number
406-220-6262
Fax Number
Provider Enumeration Date
11/06/2017
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
2435 Kimberly Rd Ste 270
City
Bettendorf
State
Iowa
Zip
52722-3509
Phone Number
406-220-6262
Fax Number
person
Provider Business Mailing Address Details
Address
2435 Kimberly Rd Ste 270
City
Bettendorf
State
Iowa
Zip
52722-3509
Phone Number
406-220-6262
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
178.011783 (Illinois)
Definition
Definition to come...
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