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

Kelley Wiederhold, LPC-ASSOCIATE

Individual provider Mental Health Counselor · NPI 1417763384

Kelley Wiederhold, LPC-ASSOCIATE is a Mental Health Counselor in Bryan, Texas. Licensed in Texas. Registered with an NPI since 2024.

Licensed in
TX
In the registry since
2024

Practice location Address checks out

1401 Sandia Plz
Bryan, TX 77802-4356
Phone: (432) 940-9653
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 94350 (TX)

Record details

NPI number1417763384
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-ASSOCIATE
Sole proprietorNo
NPI enumeratedDecember 5, 2024
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024
Mailing address1401 Sandia Plz, Bryan, TX 77802-4356

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