Individual provider · Type 1 NPI

Jordan Lewis Wiederstein, LPC

Counselor · San Antonio, TX

NPI number 1255635967 Active

Practice location

1506 Bexar Crossing St
San Antonio, TX 78232-1587

Call (210) 208-5633 Map

Fax (210) 832-5005

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X64300 (TX)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1255635967

Jordan Lewis Wiederstein, LPC's National Provider Identifier is 1255635967, issued on Jan 10, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Antonio, TX. The record was last updated on Jan 10, 2011.