Individual
MICHAELA ROSE WHEAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4160 OCOEE ST N STE 8, CLEVELAND, TN 37312-4886
(423) 362-3111
Mailing address
260 25TH ST NE APT 2114, CLEVELAND, TN 37311-3979
(219) 263-9177
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NA
—
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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