Individual provider · Type 1 NPI

Grant J. Wylie

Mental Health Counselor · Longview, WA

NPI number 1285038018 Active

Practice location

1105 Broadway St
Longview, WA 98632-3830

Call (360) 425-8679 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

Another provider at this address

Other mental health counselor providers in Longview

See all in Longview →

About NPI 1285038018

Grant J. Wylie's National Provider Identifier is 1285038018, issued on Oct 22, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Longview, WA. The record was last updated on Oct 22, 2014.