Individual provider · Type 1 NPI

Robert J. Wiedeman, LMHC------CADAC

Counselor · Worcester, MA

NPI number 1407863681 Active

Practice location

72 Jaques Ave
Worcester, MA 01610-2476

Call (508) 421-4507 Map

Fax (508) 860-1068

Mailing address

44 Sherman Grv
Spencer, MA 01562-1431

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X1492 (MA)

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 1407863681

Robert J. Wiedeman, LMHC------CADAC's National Provider Identifier is 1407863681, issued on Aug 1, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Worcester, MA. The record was last updated on Jul 8, 2007.