Most Relevant Information
Provider Data
| NPI Number: | 1003425547 |
| Provider Name: | JENNIFER WESEMAN LCPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | LPC-7700 |
Most Important Dates
| Enumeration Date: | 07/30/2020 |
| Last Updated: | 06/05/2023 |
Provider Practice Location
175 E 50TH ST
GARDEN CITY
ID
837141413
Practice Location Phone/Fax
| Phone: | 2089171863 |
| Fax: | 2089060815 |
Provider Mailing Location
175 E 50TH ST
GARDEN CITY
ID
837141413
Provider Mailing Phone/Fax
| Phone: | 2089171863 |
| Fax: | 2089060815 |