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Individual

JACK O WHEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 S MAIN ST STE 250, JANESVILLE, WI 53545-3939
(608) 757-0404
(608) 757-2319
Mailing address
PO BOX 8010, JANESVILLE, WI 53547-8010
(608) 757-0404
(608) 757-2319

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7849-226
WI
101YP2500X
Professional Counselor
Primary
12549125
WI

Other

Enumeration date
05/16/2024
Last updated
05/08/2026
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