Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Haley Lucille Wiedenman, MA, LPCC

Individual provider Mental Health Counselor · NPI 1073278875

Haley Lucille Wiedenman, MA, LPCC is a Mental Health Counselor in Durango, Colorado. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Colorado.

Years since qualifying
5
Licensed in
CO
In the registry since
2021
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

2707 New Mexico Ave
Durango, CO 81301-4722
Phone: (720) 480-0710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC.0019616 (CO)

Record details

NPI number1073278875
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPCC
Sole proprietorYes
NPI enumeratedNovember 5, 2021
Last updated in NPPESSeptember 8, 2023
Certification dateSeptember 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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