Individual
ANNA M WHEELOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Contact information
Practice address
1225 LANGLADE RD, ANTIGO, WI 54409-2762
(715) 627-6694
(715) 627-6645
Mailing address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 848-4600
(715) 845-5398
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4375-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14380-132
LICENSE - CSAC
WI
01
—
4375-125
LICENSE - LPC
WI
Enumeration date
05/29/2012
Last updated
05/29/2012
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