Provider Demographics
NPI:1821169954
Name:CUELLAR, WENDY LOGAN (LCMHCS)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:LOGAN
Last Name:CUELLAR
Suffix:
Gender:F
Credentials:LCMHCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 POWDER CREEK TRL
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-9008
Mailing Address - Country:US
Mailing Address - Phone:828-776-9511
Mailing Address - Fax:
Practice Address - Street 1:44 POWDER CREEK TRL
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-9008
Practice Address - Country:US
Practice Address - Phone:828-776-9511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-12
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2396S101YP2500X
NC2396101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional