| Doctor Name: | ANNA M WHEELOCK |
| NPI Number: | 1134489883 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, CSAC |
| License Number: | 4375-125 |
| Business Practice Address: | 1225 Langlade Rd Antigo, WI - 544092762 |
| Business Phone Number: | 7156276694 |
| Business Fax Number: | 7156276645 |
| Mailing Address: | 1100 Lake View Dr, WAUSAU |
| State: | WI |
| Postal Code: | 544036785 |
| Phone Number: | 7158484600 |
| Fax Number: | 7158455398 |
| NPI Enumeration Date: | 05/29/2012 |
| NPI Last Update Date: | 05/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 4375-125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |