Individual provider · Type 1 NPI

Sandra Kay Wheetley, L.P.C.

Professional Counselor · Poplar Bluff, MO

NPI number 1104190511 Active

Practice location

101 S Main St
Poplar Bluff, MO 63901-5843

Call (573) 624-6937 Map

Mailing address

1526 West Business Hwy 60
Dexter, MO 63841

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X002735 (MO)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X002735 (MO)

Professional Counselor: Definition to come...

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About NPI 1104190511

Sandra Kay Wheetley, L.P.C.'s National Provider Identifier is 1104190511, issued on Mar 2, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Poplar Bluff, MO. The record was last updated on Sep 27, 2012.