Douglas Ray Wiese

NPI #1558577700 in Logan, Utah

Provider Information

NPI Number
1558577700
Entity Type
Individual
Name
Douglas Ray Wiese
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
May 15, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
655 E 1300 N
City
Logan
State
Utah
ZIP Code
84341
Phone
(435) 792-6500

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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