Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | LPP 22 | NH |
NPI | 1033313010 |
---|---|
Provider Name | Dr. Gary Edward Wehrwein |
First Address | Keene, NH 03431 |
Second Address | Keene, NH 03431 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
99002147 | (05) | NH |