Individual
MR. STEVEN MICHAEL WHETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA PSYCHOLOGIST
Contact information
Practice address
2109 S LAKESHORE DR, LOUISA, VA 23093-5745
(540) 967-3891
(540) 967-3891
Mailing address
2109 S LAKESHORE DR, LOUISA, VA 23093-5745
(540) 967-3891
(540) 967-3891
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
WH74178
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WH74178
NCCA LICENSE
VA
Enumeration date
06/05/2007
Last updated
07/08/2007
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