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NPI Code Detail

MEDICARE: KAREN MARIE WIETHUCHTER MA, LPC

MEDICARE: KAREN MARIE WIETHUCHTER MA, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor2018027947MO

General Provider Information

NPI Number : 1881184406
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN MARIE WIETHUCHTER MA, LPC
Provider Business Mailing Address
First Line : 1032 CROSSWINDS CT
Second Line :
City : WENTZVILLE
State : MO
Zip : 63385-4836
Country : US
Telephone Number : 844-853-8937
Fax Number :
Provider Business Practice Location Address
First Line : 1032 CROSSWINDS CT
Second Line :
City : WENTZVILLE
State : MO
Zip : 63385-4836
Country : US
Telephone Number : 844-853-8937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2018
Last Update Date : 03/13/2026

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