Organization
JESSICA D WHEELER LMFT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA WHEELER (OWNER)
(229) 237-0655
Entity
Organization
Contact information
Practice address
3350 NOBLE WAY STE B, VALDOSTA, GA 31605-7444
(229) 333-0300
(229) 333-0306
Mailing address
3350 NOBLE WAY STE B, VALDOSTA, GA 31605-7444
(229) 333-0300
(229) 333-0306
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT001214
GA
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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