Individual
MR. ROBERT ALLEN WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, , LMHC, LPC
Contact information
Practice address
16-179 MELEKAHIWA ST, KEAAU, HI 96749-8026
(808) 854-2837
(808) 969-3716
Mailing address
PO BOX 585, HONOKAA, HI 96727-0585
(989) 859-7155
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401006190
MI
Other
Enumeration date
04/03/2007
Last updated
01/29/2018
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