Individual provider · Type 1 NPI

Jodie Wylie

Addiction (Substance Use Disorder) Counselor · San Jose, CA

NPI number 1992056618 Active

Practice location

90 Great Oaks Blvd, 108
San Jose, CA 95119-1314

Call (408) 281-0708 Map

Fax (408) 281-2658

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1992056618

Jodie Wylie's National Provider Identifier is 1992056618, issued on Sep 20, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jose, CA. The record was last updated on Sep 26, 2012.