Individual provider · Type 1 NPI
Julianne Leonarda Wiebalk, MS
Mental Health Counselor · Philadelphia, PA
NPI number
1669998217
Active
Practice location
814 South 4th Street, 1st Floor
Philadelphia, PA 19147
Mailing address
814 S 4th St Fl 1
Philadelphia, PA 19147-3104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1669998217
Julianne Leonarda Wiebalk, MS's National Provider Identifier is 1669998217, issued on Aug 16, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 21, 2022.