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NPI Code Detail

MEDICARE: JULIE K WILHELM LPC

MEDICARE: JULIE K WILHELM LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorC5997OH

General Provider Information

NPI Number : 1417944828
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE K WILHELM LPC
Provider Business Mailing Address
First Line : 1045 KLOTZ RD
Second Line : P.O. BOX 738
City : BOWLING GREEN
State : OH
Zip : 43402-4820
Country : US
Telephone Number : 419-352-7588
Fax Number : 419-354-4977
Provider Business Practice Location Address
First Line : 1045 KLOTZ RD
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-4820
Country : US
Telephone Number : 419-352-7588
Fax Number : 419-354-4977
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2005
Last Update Date : 05/14/2010

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Directions to “ JULIE K WILHELM LPC” Practice Location

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