Individual provider · Type 1 NPI
Joseph P. Wiley, CSAC
Addiction (Substance Use Disorder) Counselor · Fairfax, VA
NPI number
1902158124
Active
Practice location
3020 Javier Rd
Fairfax, VA 22031-4609
Mailing address
6256 Les Dorson Ln
Alexandria, VA 22315-3229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 0710101643 (VA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1902158124
Joseph P. Wiley, CSAC's National Provider Identifier is 1902158124, issued on Oct 11, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfax, VA. The record was last updated on Oct 11, 2012.