Individual
RYLEE JOHNSON-WHEELOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LASUDC
Contact information
Practice address
64 MAIN ST, KEENE, NH 03431-3701
(603) 357-4400
Mailing address
230 W 400 S, SALT LAKE CITY, UT 84101-1829
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13359503-6018
UT
171M00000X
Case Manager/Care Coordinator
Primary
—
—
246Z00000X
Other Specialist/Technologist
RBT-19-90465
UT
Other
Enumeration date
08/09/2019
Last updated
05/13/2025
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