Individual
MS. JILL WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMHC
Contact information
Practice address
3136 9TH ST, BOULDER, CO 80304-2520
(239) 595-3199
Mailing address
3980 N BROADWAY STE 103 #188, BOULDER, CO 80304
(239) 595-3199
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
15002
FL
101YP2500X
Professional Counselor
Primary
3730
CO
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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