Individual
ROBERT WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 S 11TH ST, SUITE 5, COEUR D ALENE, ID 83814-4000
(208) 755-3247
Mailing address
PO BOX 292, HAYDEN, ID 83835-0292
(208) 755-3247
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-5835
ID
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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