person
Ashley Wietor, MA,LMHC
Mental Health Counselor in Charleston, South Carolina
NPI 1992195069

Ashley Wietor is a Mental Health Counselor based in Charleston, SC and is specialized in Mental Health. Ashley Wietor practices in Charleston, SC and has the professional credentials of MA,LMHC. The NPI Number for Ashley Wietor is 1992195069 and holds a License No. 6122 (South Carolina).

The current practice location address for Ashley Wietor is 2100 Charlie Hall Blvd, Charleston, SC and can be reached out via phone at 843-414-2350.

Location: 2100 Charlie Hall Blvd, Charleston, SC, 29414-5832
person
Provider Profile Details
NPI Number
1992195069
Provider Name
Ashley Wietor
Credential
MA,LMHC
Provider Entity Type
Individual
Gender
Female
Address
2100 Charlie Hall Blvd, Charleston, SC, 29414-5832
Phone Number
843-414-2350
Fax Number
Provider Enumeration Date
01/28/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1760596480 05 SC
institution
Provider Business Practice Location Address Details
Address
2100 Charlie Hall Blvd
City
State
Zip
29414
Phone Number
843-414-2350
Fax Number
person
Provider Business Mailing Address Details
Address
2100 Charlie Hall Blvd
City
State
Zip
29414
Phone Number
843-414-2350
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6122 (South Carolina)
Definition
Definition to come...
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