Wiedlebacher, Laura Michelle

Wiedlebacher, Laura Michelle is an individual health care provider with primary practice located at 196 S Main St Ste 203 , Marion OH 43302-3967. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Wiedlebacher, Laura Michelle can be contacted via phone (740) 375-9091.

Contact Information

Primary practice address
196 S Main St Ste 203 Marion OH 43302-3967
Phone: (740) 375-9091
Fax: (740) 369-5931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1962540823
LBN Legal business name Wiedlebacher, Laura Michelle
Credentials MA, PCC-S, LICDC-CS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Jul 15th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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