Individual provider · Type 1 NPI

John A. Wiederspahn, CMHW

Mental Health Counselor · Cheyenne, WY

NPI number 1982825840 Active

Practice location

1901 Central Ave
Cheyenne, WY 82001-3759

Call (307) 638-4092 Map

Fax (307) 433-8785

Mailing address

1121 Lucky Ct
Cheyenne, WY 82001-6100

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCMHW-28 (WY)

Mental Health Counselor: Definition to come...

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About NPI 1982825840

John A. Wiederspahn, CMHW's National Provider Identifier is 1982825840, issued on May 1, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cheyenne, WY. The record was last updated on Jul 8, 2007.