Wheeler, Susan Adele

Wheeler, Susan Adele is an individual health care provider with primary practice located at 2920 Sheridan Lake Road , Rapid City SD 57702-5350. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Wheeler, Susan Adele can be contacted via phone (605) 348-0477.

Contact Information

Primary practice address
2920 Sheridan Lake Road Rapid City SD 57702-5350
Phone: (605) 348-0477
Fax: (605) 348-0479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X CCDC3950962 South Dakota
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPCMH2072 South Dakota

Profile Details

NPI number 1881777308
LBN Legal business name Wheeler, Susan Adele
Credentials LPCMH CCDC3
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881777308 NPPES
South Dakota MEDICAID 6575440

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