Individual provider · Type 1 NPI
Judy M. Wylie, LPC
Professional Counselor · Grover, MO
NPI number
1851490817
Active
Practice location
16917 Manchester Rd
Grover, MO 63040-1209
Fax (636) 458-0911
Mailing address
1426 Eagle Ridge Rd
Wildwood, MO 63038-2418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 002288 (MO) |
Professional Counselor: Definition to come...
2 other providers at this address
About NPI 1851490817
Judy M. Wylie, LPC's National Provider Identifier is 1851490817, issued on Sep 22, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grover, MO. The record was last updated on Jul 8, 2007.