Individual
CAROL J WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2600 STEWART AVE, SUITE 38, WAUSAU, WI 54401-4148
(715) 845-4900
(715) 845-4970
Mailing address
3302 MAPLE HILL DR, WAUSAU, WI 54401-3767
(715) 845-4900
(715) 845-4970
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
443-125
WI
106H00000X
Marriage & Family Therapist
Primary
540-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39634000
—
WI
Enumeration date
08/09/2006
Last updated
03/27/2008
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