Individual
LISA K WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2520 LONGIVEW STREET, SUITE 313, AUSTIN, TX 78705
(512) 879-8320
Mailing address
5517 OAKWOOD CV APT 6, AUSTIN, TX 78731-4864
(512) 879-8320
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
73482
TX
101YM0800X
Mental Health Counselor
73482
TX
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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