Individual provider · Type 1 NPI
Alicia Gonzalez Wiese
Professional Counselor · Chicago, IL
NPI number
1548810864
Active
Practice location
2057 N Albany Ave Apt 2N
Chicago, IL 60647-3814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1548810864
Alicia Gonzalez Wiese's National Provider Identifier is 1548810864, issued on Sep 18, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Jun 13, 2022.