Provider Demographics
NPI:1205980992
Name:WHEELER, CHRISTINE M (LCPC, NCC, BC-TMH)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:WHEELER
Suffix:
Gender:F
Credentials:LCPC, NCC, BC-TMH
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:ACQUARULO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:127 LUBRANO DR
Mailing Address - Street 2:STE L3, OFC B
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7322
Mailing Address - Country:US
Mailing Address - Phone:443-251-2990
Mailing Address - Fax:443-251-2990
Practice Address - Street 1:127 LUBRANO DR
Practice Address - Street 2:STE L3, OFC B
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7322
Practice Address - Country:US
Practice Address - Phone:443-251-2990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD622404100Medicaid