Individual
JEVON WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20257 JOHNSON RD, LINCOLN, DE 19960-2600
(443) 983-5337
Mailing address
20257 JOHNSON RD, LINCOLN, DE 19960-2600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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