Individual
DAVID ALAN WHEELHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC, CPP
Contact information
Practice address
9245 QUANTRELLE AVE NE, OTSEGO, MN 55330-0168
(763) 746-9492
(763) 746-3685
Mailing address
1900 SILVER LAKE ROAD NW, SUITE 110, NEW BRIGHTON, MN 55112
(651) 379-1718
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304499
MN
Other
Enumeration date
06/13/2016
Last updated
10/09/2018
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