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David Wieder, CMHC
Mental Health Counselor in Loa, Utah
NPI 1598143703

David Wieder is a Mental Health Counselor based in Lyman, UT and is specialized in Mental Health. David Wieder practices in Loa, UT and has the professional credentials of CMHC. The NPI Number for David Wieder is 1598143703 and holds a License No. 98506646009 (Utah).

The current practice location address for David Wieder is 1764 W Aspen Lane, Loa, UT and can be reached out via phone at 505-231-5031.

Location: 1764 W Aspen Lane, Loa, UT, 84749-1456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598143703
Provider Name
David Wieder
Credential
CMHC
Provider Entity Type
Individual
Gender
Male
Address
1764 W Aspen Lane, Loa, UT, 84749-1456
Phone Number
505-231-5031
Fax Number
Provider Enumeration Date
05/08/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1764 W Aspen Lane
City
Loa
State
Utah
Zip
84747
Phone Number
505-231-5031
Fax Number
person
Provider Business Mailing Address Details
Address
1764 W Aspen Lane
City
Loa
State
Utah
Zip
84747
Phone Number
505-231-5031
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
98506646009 (Utah)
Definition
Definition to come...
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