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Individual
DR. GEORGE LARRY WHEELER SR.
Active
Individual
DR. GEORGE LARRY WHEELER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, LPC,CEAP,SAP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0718000097
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA095
MD
101YP2500X
Professional Counselor
0701003368
VA
101YP2500X
Professional Counselor
LC0891
MD
101YP2500X
Professional Counselor
PRC217
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073693990
—
VA
Enumeration date
05/21/2008
Last updated
05/21/2008
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