Individual
PAMELA MARIE WHEELESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
629 WILLOW AVE, BALTIMORE, MD 21212-4825
(443) 520-6771
Mailing address
629 WILLOW AVE, BALTIMORE, MD 21212-4825
(443) 520-6771
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC1736
MD
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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