Individual provider · Type 1 NPI

Teresa A. Wiley, CASE MANAGER

Mental Health Counselor · Jackson, TN

NPI number 1386766715 Active

Practice location

238 Summar Dr
Jackson, TN 38301-3906

Call (731) 935-8200 Map

Mailing address

1804 Highway 45 Byp, Suite 604
Jackson, TN 38305-4436

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1386766715

Teresa A. Wiley, CASE MANAGER's National Provider Identifier is 1386766715, issued on Apr 5, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, TN. The record was last updated on Aug 21, 2009.