Individual provider · Type 1 NPI

Samantha Wiederrecht, MS, LPC, NCC

Professional Counselor · Douglas, WY

NPI number 1689367526 Active

Practice location

1841 Madora Ave
Douglas, WY 82633-3057

Mailing address

2015 Adobe Ave
Douglas, WY 82633-3001

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-2462 (WY)

Professional Counselor: Definition to come...

86 other providers at this address

Other professional counselor providers in Douglas

See all in Douglas →

About NPI 1689367526

Samantha Wiederrecht, MS, LPC, NCC's National Provider Identifier is 1689367526, issued on May 26, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Douglas, WY. The record was last updated on Oct 13, 2025.