Individual
KERRY WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 W MADISON ST, LOUISA, KY 41230-1327
(606) 826-0341
Mailing address
108 W MADISON ST, LOUISA, KY 41230-1327
(606) 826-0341
(606) 826-0349
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
162784
KY
101YP2500X
Professional Counselor
2704
WV
101YP2500X
Professional Counselor
701013642
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30610026
—
KY
Enumeration date
11/22/2011
Last updated
10/05/2025
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