Individual provider · Type 1 NPI
Kenitres Marcell Wiley, MS, LPC
Counselor · Plano, TX
NPI number
1821633454
Active
Practice location
1001 Custer Rd
Plano, TX 75075-8309
Mailing address
609 S Goliad St Unit 1745
Rockwall, TX 75087-4061
Other practice locations
- 437 Spring Air Dr, Allen, TX 75002-5319 · (214) 794-4825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 82487 (TX) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2 other providers at this address
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About NPI 1821633454
Kenitres Marcell Wiley, MS, LPC's National Provider Identifier is 1821633454, issued on Nov 6, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Plano, TX. The record was last updated on Jan 19, 2023.