JOHN WIESNER

SACRAMENTO, CA
NPI1225485618
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  C035310815)
Enumeration Date2016-05-16
Last Update Date2016-05-16
Business Address
-- JOHN WIESNER
3600 POWER INN RD
SACRAMENTO, CA 95826-3826
Phone number: 916-453-2708
Mailing Address
-- JOHN WIESNER
3600 POWER INN RD
SACRAMENTO, CA 95826-3826
Phone number: