Individual
BRENT W WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
4940 BROADWAY ST STE 225, SAN ANTONIO, TX 78209-5731
(254) 624-1233
(210) 966-0563
Mailing address
4940 BROADWAY ST STE 225, SAN ANTONIO, TX 78209-5731
(254) 624-1233
(210) 966-0563
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
15744
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148226702
—
TX
Enumeration date
08/31/2005
Last updated
02/16/2019
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