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Individual

MR. GARRETT WHEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
890 82ND DR BLDG B, GLADSTONE, OR 97027-1803
(503) 659-5515
Mailing address
890 82ND DR BLDG B, GLADSTONE, OR 97027-1803

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
23-QMHP-R-2263
OR
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
A14433
OR
1041C0700X
Clinical Social Worker
Primary
L17900
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23-QMHP-R-2263
THE MENTAL HEALTH AND ADDICTION CERTIFICATION BOARD OF OREGON
OR
Enumeration date
04/23/2022
Last updated
04/13/2026
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