Individual provider · Type 1 NPI

Susan Wiley

Professional Counselor · Portland, ME

NPI number 1760921969 Active

Practice location

125 Presumpscot St
Portland, ME 04103-5225

Mailing address

1080 Broadway Apt 4
South Portland, ME 04106-5720

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XXL4841 (ME)

Professional Counselor: Definition to come...

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About NPI 1760921969

Susan Wiley's National Provider Identifier is 1760921969, issued on Feb 21, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, ME. The record was last updated on Feb 21, 2017.