Wesley, Carol J

Wesley, Carol J is an individual health care provider with primary practice located at 2600 Stewart Ave Suite 38, Wausau WI 54401-4148. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Wesley, Carol J can be contacted via phone (715) 845-4900.

Contact Information

Primary practice address
2600 Stewart Ave Suite 38 Wausau WI 54401-4148
Phone: (715) 845-4900
Fax: (715) 845-4970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 443-125 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 540-124 Wisconsin

Profile Details

NPI number 1992715189
LBN Legal business name Wesley, Carol J
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Mar 27th, 2008 - about 17 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 1992715189 NPPES
Wisconsin MEDICAID 39634000

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