Individual provider · Type 1 NPI
Jennifer Denise Wiley, CAS
Addiction (Substance Use Disorder) Counselor · San Diego, CA
NPI number
1972632008
Active
Practice location
3969 4th Ave Ste 210
San Diego, CA 92103-3165
Mailing address
550 Park Blvd Unit 2504
San Diego, CA 92101-7243
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1972632008
Jennifer Denise Wiley, CAS's National Provider Identifier is 1972632008, issued on Mar 5, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.