Provider Demographics
NPI:1316741465
Name:WUWERT, JAMES DAVID (LCMHC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:DAVID
Last Name:WUWERT
Suffix:
Gender:M
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4398 LOCHURST DR
Mailing Address - Street 2:
Mailing Address - City:PFAFFTOWN
Mailing Address - State:NC
Mailing Address - Zip Code:27040-9819
Mailing Address - Country:US
Mailing Address - Phone:336-403-3850
Mailing Address - Fax:
Practice Address - Street 1:4398 LOCHURST DR
Practice Address - Street 2:
Practice Address - City:PFAFFTOWN
Practice Address - State:NC
Practice Address - Zip Code:27040-9819
Practice Address - Country:US
Practice Address - Phone:336-403-3850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health