Individual provider · Type 1 NPI
Justin Wheaton
Mental Health Counselor · Norwich, NY
NPI number
1467304386
Active
Practice location
103 Lelanis Lane, Suite A
Norwich, NY 13815
Fax (607) 373-3864
Mailing address
1008 Ballyhack Rd
Port Crane, NY 13833-1028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 121786 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1467304386
Justin Wheaton's National Provider Identifier is 1467304386, issued on Feb 12, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Norwich, NY. The record was last updated on Feb 12, 2026.