Individual
JARED M WILHELM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, MC
Contact information
Practice address
112 E MAIN ST, SAFFORD, AZ 85546-2050
(928) 322-4401
Mailing address
PO BOX 11, SAFFORD, AZ 85548-0011
(928) 322-4401
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC11772
AZ
Other
Enumeration date
09/28/2006
Last updated
01/12/2009
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