Individual
LUKE WHEATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7476 BALTIMORE ANNAPOLIS BLVD, GLEN BURNIE, MD 21061
(443) 960-4673
Mailing address
7476 BALTIMORE ANNAPOLIS BLVD, GLEN BURNIE, MD 21061
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MD
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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