JORDAN LEWIS WIEDERSTEIN LPC NPI 1255635967

NPI Information

Jordan Lewis Wiederstein, LPC is a counselor in San Antonio, TX. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Jordan Lewis Wiederstein, LPC NPI is 1255635967. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1506 BEXAR CROSSING ST
SAN ANTONIO, TX
ZIP 78232-587
Phone: (210) 208-5633
Fax: (210) 832-5005

The enumeration date for this NPI number is 1/10/2011 and was last updated on 1/10/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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