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General NPI Number Information
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NPI Number | 1174378319
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Entity Type | Individual
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Provider Name | CHRISTIAN MICHAEL WEHNER MSPSY, LMHC
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Gender | Male
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Dates
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Enumeration Date | 04/22/2024
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 14000 S MILITARY TRL STE 208
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City | DELRAY BEACH
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State | FL
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Zip | 33484-2654
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Country | US
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Telephone | 239-690-6906
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Fax |
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Provider Business Mailing Address
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Address Line | 360 W PALMETTO PARK RD UNIT 409
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City | BOCA RATON
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State | FL
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Zip | 33432-6709
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Country | US
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Telephone | 786-210-7394
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH22421
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License Number State | FL
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