Individual provider · Type 1 NPI

Patrick Wiley

Addiction (Substance Use Disorder) Counselor · Menasha, WI

NPI number 1104987981 Active

Practice location

1095 Midway Rd
Menasha, WI 54952-1115

Call (920) 720-2300 Map

Mailing address

PO Box 8003
Appleton, WI 54912-8003

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X516 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104987981

Patrick Wiley's National Provider Identifier is 1104987981, issued on Dec 13, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Menasha, WI. The record was last updated on Jul 8, 2007.