Provider Demographics
NPI:1154151421
Name:WHELAN, AARON J
Entity type:Individual
Prefix:MR
First Name:AARON
Middle Name:J
Last Name:WHELAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:AJ
Other - Middle Name:
Other - Last Name:WHEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:353 POND ST UNIT R
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-2031
Mailing Address - Country:US
Mailing Address - Phone:774-804-0473
Mailing Address - Fax:
Practice Address - Street 1:353 POND ST UNIT R
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-2031
Practice Address - Country:US
Practice Address - Phone:774-804-0473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-02
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)