Doctor Name: | RICHARD LOUIS WHEELER |
NPI Number: | 1982095212 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPCA |
License Number: | LPCCCA00216380 |
Business Practice Address: | 2084 Main St Willisburg, KY - 400788199 |
Business Phone Number: | 8593759200 |
Business Fax Number: | 8593759202 |
Mailing Address: | 2084 Main St, WILLISBURG |
State: | KY |
Postal Code: | 400788199 |
Phone Number: | 8593759200 |
Fax Number: | 8593759202 |
NPI Enumeration Date: | 02/09/2015 |
NPI Last Update Date: | 02/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPCCCA00216380 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |