Jacqueline Jeanne Wielick, MS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

118766 Issued in CA

Practice address

23207 Columbia Pointe LN
Orondo, WA 98843-9826

Phone

(619) 630-5481

NPI assigned

Aug 21, 2018

Sex

Female

Sole proprietor

No

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 15, 2023.

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1013497791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23207 COLUMBIA POINTE LN",
            "city": "ORONDO",
            "state": "WA",
            "postal_code": "988439826",
            "telephone_number": "619-630-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23207 COLUMBIA POINTE LN",
            "city": "ORONDO",
            "state": "WA",
            "postal_code": "988439826",
            "telephone_number": "619-630-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIELICK",
        "first_name": "JACQUELINE",
        "middle_name": "JEANNE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF100541",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "118766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Align Therapy Collective PLLC
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• Orondo School District
• Allison Hope Podlich, LMT
• Megan Joeanne Winters, L.M.P.

• All providers in Orondo, WA
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.