Doctor Name: | MR. ROGER ROBERT WOHLDMANN |
NPI Number: | 1265505580 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC, CASAC |
License Number: | 1999143405 |
Business Practice Address: | 214 Church St O Fallon, MO - 633662814 |
Business Phone Number: | 3147032721 |
Business Fax Number: | |
Mailing Address: | 214 Church St, O FALLON |
State: | MO |
Postal Code: | 633662814 |
Phone Number: | 3147032721 |
Fax Number: | |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1999143405 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |