KELLEY WIEDERHOLD, LPC-ASSOCIATE

Counselor - Mental Health

Active Individual
NPI: 1417763384

Practice Address

1401 SANDIA PLZ
Bryan, TX 77802

Phone: (432) 940-9653

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes 94350 (TX)

Frequently Asked Questions

NPI 1417763384 is the National Provider Identifier for KELLEY WIEDERHOLD, LPC-ASSOCIATE, a Counselor - Mental Health provider located in Bryan, TX. This NPI was enumerated on December 5, 2024.
KELLEY WIEDERHOLD, LPC-ASSOCIATE practices at 1401 SANDIA PLZ, Bryan, TX 77802.

Quick Facts

NPI
1417763384
Type
Individual
Enumerated
Dec 5, 2024
Last Updated
Dec 5, 2024

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