MR. John A Wiederspahn, CMHW

NPI #1982825840 in Cheyenne, Wyoming

Provider Information

NPI Number
1982825840
Entity Type
Individual
Name
MR. John A Wiederspahn, CMHW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
CMHW
Enumeration Date
May 1, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1901 CENTRAL AVE
State
Wyoming
ZIP Code
82001-3759
Phone
(307) 638-4092

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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