Individual
KATHRYN COSTELLO WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9901 NE 7TH AVE STE C116, VANCOUVER, WA 98685-4528
(360) 571-2432
Mailing address
5016 NE 22ND AVE, VANCOUVER, WA 98663-1344
(971) 601-5439
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/28/2025
Last updated
06/28/2025
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