JONATHAN WIESNER

LAWRENCEVILLE, GA
NPI1497160394
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA  1971)
Enumeration Date2014-06-30
Last Update Date2014-06-30
Business Address
Mr. JONATHAN WIESNER CAC II
250 SCENIC HWY
LAWRENCEVILLE, GA 30046-5675
Phone number: 678-442-5800
Mailing Address
Mr. JONATHAN WIESNER CAC II
250 SCENIC HWY S
LAWRENCEVILLE, GA 30046-5675
Phone number: 678-442-5800
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