Individual
JENNIFER WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, QMHP
Contact information
Practice address
905 MAIN ST STE 200B, KLAMATH FALLS, OR 97601-6066
(541) 887-0751
Mailing address
905 MAIN ST STE 200B, KLAMATH FALLS, OR 97601-6066
(541) 887-0751
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L10538
OR
Other
Enumeration date
03/08/2016
Last updated
01/04/2023
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