Individual provider · Type 1 NPI

Jonathan Wiesner, CAC II

Addiction (Substance Use Disorder) Counselor · Lawrenceville, GA

NPI number 1497160394 Active

Practice location

250 Scenic Hwy
Lawrenceville, GA 30046-5675

Call (678) 442-5800 Map

Mailing address

250 Scenic Hwy S
Lawrenceville, GA 30046-5675

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1971 (GA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1497160394

Jonathan Wiesner, CAC II's National Provider Identifier is 1497160394, issued on Jun 30, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lawrenceville, GA. The record was last updated on Jun 30, 2014.