IndividualActive
Whitney Wollweber
NPI 1962128397 · Professional Counselor · Edwall, WA
Provider details
- NPI number
- 1962128397
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- LPC-9772 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Practice location
16020 Polenske Rd N
Edwall, WA 99008-9631
Phone: (509) 995-4501
Approximate (ZIP-level) locationGet directions
Mailing address
3091 N Atlas Rd Unit H305
Coeur D Alene, ID 83814-6363
Registry dates
- Enumerated
- 2022-10-17
- Last updated
- 2024-06-02
- Certified
- 2024-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.