Individual provider · Type 1 NPI
Jennifer Lynn Wiley
Mental Health Counselor · Yukon, OK
NPI number
1861754376
Active
Practice location
728 S Mustang Rd
Yukon, OK 73099-6777
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1861754376
Jennifer Lynn Wiley's National Provider Identifier is 1861754376, issued on Jun 11, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Yukon, OK. The record was last updated on Jun 11, 2012.