Gordon D. Wieland MA, LPC, LADC

NPI 1043340748 - Counselor - 101YA0400X

NPI Details
NPI 1043340748
Gender Male
Enumeration Date 03/06/2007
Last Updated 07/21/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
3102 PLOVER RD
LOUISVILLE KY, 40213-1229, US
Phone (502) 403-6054
Fax
Business Location
3102 PLOVER RD
LOUISVILLE KY, 40213-1229, US
Phone (502) 403-6054
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State Oklahoma
License Number 166
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According to our database, Gordon D. Wieland MA, LPC, LADC NPI is 1043340748, taxonomy code is 101YA0400X and license number is 166, license state is located at Oklahoma. Gordon D. Wieland MA, LPC, LADC physically located at 3102 Plover Rd, Louisville KY, 40213-1229. NPI Number Gordon D. Wieland MA, LPC, LADC has the Individual type.

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1043340748 NPI number is provided on an as is basis without warranty of any kind. 1043340748 is maintained by the National Plan & Provider Enumeration System. The contents of Gordon D. Wieland MA, LPC, LADC are for informational purposes only.