Individual
MS. MARIJANE WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LISAC
Contact information
Practice address
ROUTE 7, BOX 777, CHINLE, AZ 86503-0777
(928) 674-2190
(928) 674-2198
Mailing address
BOX 777 ROUTE 7, CHINLE, AZ 86503-0777
(928) 674-2190
(928) 674-2198
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11385
AZ
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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