Most Relevant Information
Provider Data
| NPI Number: | 1003442674 |
| Provider Name: | TRACEY LYNN WHEELER LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/16/2020 |
| Last Updated: | 09/18/2023 |
Provider Practice Location
829 W MAIN ST STE 3
GAYLORD
MI
497351998
Practice Location Phone/Fax
| Phone: | 9897326761 |
| Fax: |
Provider Mailing Location
PO BOX 189
MANCELONA
MI
496590189
Provider Mailing Phone/Fax
| Phone: | 9893871734 |
| Fax: |