Individual provider · Type 1 NPI
Gordon D. Wieland, MA, LPCC
Professional Counselor · Louisville, KY
NPI number
1043340748
Active
Practice location
3102 Plover Rd
Louisville, KY 40213-1229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 166 (OK) |
| Professional Counselor | 101YP2500X | 3491 (OK) |
| Professional Counselor Primary | 101YP2500X | 102155 (KY) |
Professional Counselor: Definition to come...
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About NPI 1043340748
Gordon D. Wieland, MA, LPCC's National Provider Identifier is 1043340748, issued on Mar 6, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Louisville, KY. The record was last updated on Jan 8, 2019.