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J.d. Weidner, PHD
Mental Health Counselor in Decatur, Georgia
NPI 1669623799

J.d. Weidner is a Mental Health Counselor based in Decatur, GA and is specialized in Mental Health. J.d. Weidner practices in Decatur, GA and has the professional credentials of PHD. The NPI Number for J.d. Weidner is 1669623799 and holds a License No. FL-MH21136 (Georgia).

The current practice location address for J.d. Weidner is 2750 Heritage Manor Walk, Decatur, GA and can be reached out via phone at 404-317-9566.

Location: 2750 Heritage Manor Walk, Decatur, GA, 30034-1002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669623799
Provider Name
J.d. Weidner
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
2750 Heritage Manor Walk, Decatur, GA, 30034-1002
Phone Number
404-317-9566
Fax Number
Provider Enumeration Date
10/07/2008
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LPC009051 01 GA STATE LICENSE
MH21136 01 FL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
2750 Heritage Manor Walk
City
Decatur
State
Georgia
Zip
30034
Phone Number
404-317-9566
Fax Number
person
Provider Business Mailing Address Details
Address
2750 Heritage Manor Walk
City
Decatur
State
Georgia
Zip
30034
Phone Number
404-317-9566
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
FL-MH21136 (Florida)
Definition
Definition to come...
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