JEFF D WIESE LCSW PLLC NPI 1588736128

NPI Information

  • NPI: 1588736128
  • Provider Name: JEFF D WIESE LCSW PLLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 5425 N ORACLE RD STE 115
    TUCSON, AZ
    ZIP 85704
  • Phone: (520) 742-9166

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NPI Details

JEFF D WIESE LCSW PLLC is a mental health counselor in Tucson, AZ. JEFF D WIESE LCSW PLLC NPI is 1588736128. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5425 N ORACLE RD STE 115
TUCSON, AZ
ZIP 85704-890
Phone: (520) 742-9166
Fax: (520) 742-9146

The provider's authorized official is Jeff D Wiese .
The authorized official title is Owner and has the following contact phone number (520) 742-9166.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 11/13/2007.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthLCSW0712ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1LCSW0712OTHERARIZONALICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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