Annastatia Shannon Wheeler LCSW

NPI 1700284668 - Counselor - 101YP2500X

NPI Details
NPI 1700284668
Gender Female
Enumeration Date 12/09/2014
Last Updated 12/09/2014
Entity Type Individual
Active Over 1 year ago
Practice Location
2685 PALMER ST
STE C
MISSOULA MT, 59808-1708, US
Phone (406) 721-2038
Fax (406) 327-0042
Business Location
2685 PALMER ST
STE C
MISSOULA MT, 59808-1708, US
Phone (406) 721-2038
Fax (406) 327-0042
Toxanomy
Taxonomy Code 101YP2500X
License State Montana
License Number 9755
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According to our database, Mrs. Annastatia Shannon Wheeler LCSW NPI is 1700284668, taxonomy code is 101YP2500X and license number is 9755, license state is located at Montana. Annastatia Shannon Wheeler LCSW physically located at 2685 Palmer St, Missoula MT, 59808-1708. NPI Number Annastatia Shannon Wheeler LCSW has the Individual type.

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1700284668 NPI number is provided on an as is basis without warranty of any kind. 1700284668 is maintained by the National Plan & Provider Enumeration System. The contents of Annastatia Shannon Wheeler LCSW are for informational purposes only.