Provider Demographics
NPI:1881877702
Name:WEHNER, AUGUST IV (MED, LPC)
Entity type:Individual
Prefix:MR
First Name:AUGUST
Middle Name:
Last Name:WEHNER
Suffix:IV
Gender:M
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3841 CHEVY CHASE LN
Mailing Address - Street 2:
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642-7328
Mailing Address - Country:US
Mailing Address - Phone:832-239-0607
Mailing Address - Fax:
Practice Address - Street 1:400 AVENUE F
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:TX
Practice Address - Zip Code:77414-4102
Practice Address - Country:US
Practice Address - Phone:979-245-9231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-13
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX58181101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional