| Judy Kaye Wieberg | |
|
2105 Capurro Way Suite 105 Sparks NV 89431-8518 | |
| (775) 848-7674 | |
| Not Available |
| Full Name | Judy Kaye Wieberg |
|---|---|
| Speciality | Counselor |
| Location | 2105 Capurro Way, Sparks, Nevada |
| Authorized Official Name and Position | Judy Kaye Wieberg (COUNSELOR) |
| Authorized Official Contact | 7758487674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Judy Kaye Wieberg 11040 Heartpine St Reno NV 89506-8952 Ph: (775) 848-7674 | Judy Kaye Wieberg 2105 Capurro Way Suite 105 Sparks NV 89431-8518 Ph: (775) 848-7674 |
| NPI Number | 1821398108 |
|---|---|
| Provider Enumeration Date | 11/02/2010 |
| Last Update Date | 11/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821398108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | CPOO21 (Nevada) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1089-L (Nevada) | Secondary |
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