Individual provider · Type 1 NPI
James Wieberg, LPC
Professional Counselor · Jefferson City, MO
NPI number
1689614596
Active
Practice location
1432 Southwest Blvd
Jefferson City, MO 65109
Fax (573) 632-5875
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 612 (MO) |
Professional Counselor: Definition to come...
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About NPI 1689614596
James Wieberg, LPC's National Provider Identifier is 1689614596, issued on Jun 8, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jefferson City, MO. The record was last updated on Jul 1, 2009.