| Doctor Name: | MR. RODGER D WAHL |
| NPI Number: | 1083826721 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.E.D., LPC |
| License Number: | 2638 |
| Business Practice Address: | 522 S. Texas Blvd Ste 116 Weslaco, TX - 785964868 |
| Business Phone Number: | 9564633431 |
| Business Fax Number: | 9564472221 |
| Mailing Address: | 522 S. Texas Blvd. Ste 116, WESLACO |
| State: | TX |
| Postal Code: | 785964868 |
| Phone Number: | 9564633431 |
| Fax Number: | 9564472221 |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 07/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2638 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |