Individual provider · Type 1 NPI
Michael Wiley Jr., LCPC
Mental Health Counselor · Chicago, IL
NPI number
1508487976
Active
Practice location
7234 W North Ave Ste 208
Chicago, IL 60707-4202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LH61301380 (WA) |
| Mental Health Counselor | 101YM0800X | 180.013996 (IL) |
| Mental Health Counselor Primary | 101YM0800X | LPC015458 (GA) |
Mental Health Counselor: Definition to come...
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About NPI 1508487976
Michael Wiley Jr., LCPC's National Provider Identifier is 1508487976, issued on Apr 27, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Apr 14, 2025.