Individual provider · Type 1 NPI

Christopher Wylie

Professional Counselor · Meridian, ID

NPI number 1871477596 Active

Practice location

1407 W Mcmillan Rd Ste 120
Meridian, ID 83646-5168

Call (208) 315-6717 Map

Fax (208) 315-6718

Mailing address

1775 W State St # 371
Boise, ID 83702-3924

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1871477596

Christopher Wylie's National Provider Identifier is 1871477596, issued on Aug 5, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Meridian, ID. The record was last updated on Aug 5, 2025.