LETICIA WIESNER

SAN RAFAEL, CA
NPI1215259783
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2010-02-24
Last Update Date2010-02-24
Business Address
-- LETICIA WIESNER
3270 KERNER BLVD
SAN RAFAEL, CA 94901-4840
Phone number: 415-457-6964
Mailing Address
-- LETICIA WIESNER
17671 TRENTON DR
CASTRO VALLEY, CA 94546-1512
Phone number: 510-728-0361