Individual provider · Type 1 NPI

Stephanie Wielgosz

Mental Health Counselor · Jackson, MS

NPI number 1134828619 Active

Practice location

5422 Clinton Blvd
Jackson, MS 39209-3050

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP-0543 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1134828619

Stephanie Wielgosz's National Provider Identifier is 1134828619, issued on Feb 23, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, MS. The record was last updated on Feb 23, 2023.