Most Relevant Information
Provider Data
| NPI Number: | 1003668591 |
| Provider Name: | TAMIKA WHEELER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 37LC00354100 |
Most Important Dates
| Enumeration Date: | 04/05/2024 |
| Last Updated: | 04/05/2024 |
Provider Practice Location
4 S ORANGE AVE # 209
SOUTH ORANGE
NJ
070791702
Practice Location Phone/Fax
| Phone: | 9733141295 |
| Fax: |
Provider Mailing Location
4 S ORANGE AVE # 209
SOUTH ORANGE
NJ
070791702
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |