Individual provider · Type 1 NPI
Kimberli Leesa Wylie
Addiction (Substance Use Disorder) Counselor · Malone, NY
NPI number
1831628817
Active
Practice location
31 6th St
Malone, NY 12953-1246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist | 175T00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 36737 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1831628817
Kimberli Leesa Wylie's National Provider Identifier is 1831628817, issued on Jun 5, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Malone, NY. The record was last updated on Jul 21, 2022.