Doctor Name: | MS. CANDACE L. WHEELER |
NPI Number: | 1003053232 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., LPC |
License Number: | 002267 |
Business Practice Address: | 671 Lumpkin Campground Rd S Suite 240 Dawsonville, GA - 305340922 |
Business Phone Number: | 7065314929 |
Business Fax Number: | |
Mailing Address: | 671 Lumpkin Campground Rd S, Suite 240 DAWSONVILLE |
State: | GA |
Postal Code: | 305340922 |
Phone Number: | 7065314929 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2009 |
NPI Last Update Date: | 01/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 002267 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |