Individual provider · Type 1 NPI

Wylie James Bagley, PhD

Marriage & Family Therapist · San Andreas, CA

NPI number 1487666186 Active

Practice location

3585 Hawver Rd.
San Andreas, CA 95249

Call (209) 754-1249 Map

Mailing address

3055 Floyd Ave Apt J145
Modesto, CA 95355-7927

Other practice locations

  • 902 Deville Ln, Ruston, LA 71270-6313 · (318) 255-5753

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000X1016 (LA)
Marriage & Family Therapist Primary 106H00000X122872 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

3 other providers at this address

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About NPI 1487666186

Wylie James Bagley, PhD's National Provider Identifier is 1487666186, issued on Aug 12, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Andreas, CA. The record was last updated on May 24, 2021.