Individual
WHITNEY WOLLWEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16020 POLENSKE RD N, EDWALL, WA 99008-9631
(509) 995-4501
Mailing address
3091 N ATLAS RD UNIT H305, COEUR D ALENE, ID 83814-6363
(509) 995-4501
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC-9772
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
10/17/2022
Last updated
06/02/2024
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