Organization · Type 2 NPI

Stephanie Wiese

Mental Health Counselor · Oswego, IL

NPI number 1114281870 Active

Practice location

123 W Washington St, Suite 340
Oswego, IL 60543-8214

Mailing address

161 Springbrook Trl S
Oswego, IL 60543-4016

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X180007986 (IL)

Mental Health Counselor: Definition to come...

10 other providers at this address

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About NPI 1114281870

Stephanie Wiese's National Provider Identifier is 1114281870, issued on Jun 27, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oswego, IL. The record was last updated on Jun 27, 2012.