# JESSICA D WHEELER LMFT INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629464995
- **Authorized official:** JESSICA WHEELER (OWNER)
- **Authorized official phone:** (229) 237-0655

## Contact information

- **Practice address:** 3350 NOBLE WAY STE B, VALDOSTA, GA 31605-7444
- **Practice address phone:** (229) 333-0300
- **Practice address fax:** (229) 333-0306
- **Mailing address:** 3350 NOBLE WAY STE B, VALDOSTA, GA 31605-7444
- **Mailing address phone:** (229) 333-0300
- **Mailing address fax:** (229) 333-0306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | LMFT001214 | GA | Yes |

## Other

- **Enumeration date:** 04/13/2015
- **Last updated:** 04/13/2015