| Doctor Name: | TANYA WENIG |
| NPI Number: | 1194066696 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | LPC-5020 |
| Business Practice Address: | 1602 E Seltice Way Suite D Post Falls, ID - 838547082 |
| Business Phone Number: | 2086190190 |
| Business Fax Number: | 2086190195 |
| Mailing Address: | 1602 E Seltice Way, Suite D POST FALLS |
| State: | ID |
| Postal Code: | 838547082 |
| Phone Number: | 2086190190 |
| Fax Number: | 2086190195 |
| NPI Enumeration Date: | 03/07/2013 |
| NPI Last Update Date: | 03/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC-5020 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |