Individual provider · Type 1 NPI

Micah Wiedemann

Mental Health Counselor · Las Vegas, NV

NPI number 1144630658 Active

Practice location

3001 Lake East Dr, Apt 2089
Las Vegas, NV 89117-2205

Call (313) 815-0055 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1144630658

Micah Wiedemann's National Provider Identifier is 1144630658, issued on May 6, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Las Vegas, NV. The record was last updated on May 6, 2014.