Individual
MR. ADAM GERARD WOEHLKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
12 N 64TH ST, BELLEVILLE, IL 62223-3809
(618) 397-0900
Mailing address
240 S FERKEL ST, COLUMBIA, IL 62236-2122
(314) 856-3348
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180008931
IL
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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