| Jw Mediation & Therapy, Llc | |
|
2440 Executive Dr Ste 210 Saint Charles MO 63303-5607 | |
| (636) 447-1902 | |
| (636) 447-1902 |
| Full Name | Jw Mediation & Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2440 Executive Dr Ste 210, Saint Charles, Missouri |
| Authorized Official Name and Position | Julie Wiechens (THERAPIST/OWNER) |
| Authorized Official Contact | 6364471902 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jw Mediation & Therapy, Llc 2440 Executive Dr Ste 210 Saint Charles MO 63303-5607 Ph: (636) 447-1902 | Jw Mediation & Therapy, Llc 2440 Executive Dr Ste 210 Saint Charles MO 63303-5607 Ph: (636) 447-1902 |
| NPI Number | 1861730616 |
|---|---|
| Provider Enumeration Date | 01/29/2013 |
| Last Update Date | 06/03/2013 |
| Medicare PECOS PAC ID | 6608013719 |
|---|---|
| Medicare Enrollment ID | O20130509000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861730616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2001022988 (Missouri) | Primary |
| Provider Name | Julie M Wiechens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124108527 PECOS PAC ID: 5698727451 Enrollment ID: I20050221000326 |
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