Theresa A Wiese, LCSW
NPI #1891750816 in Washington, Illinois
Provider Information
- NPI Number
- 1891750816
- Entity Type
- Individual
- Name
- Theresa A Wiese, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCSW
- Enumeration Date
- Apr 20, 2006
- Last Updated
- Apr 17, 2025
Practice Location
- Address
- 310 HILLCREST DR
- City
- Washington
- State
- Illinois
- ZIP Code
- 61571-2221
- Phone
- (309) 645-1318
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Social Worker - Clinical — Clinical |
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