Individual
DR. EARNEST JEFFERY WILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9845 HORN ROAD, SUITE 190, SACRAMENTO, CA 95827-2563
(916) 329-8555
(916) 476-4193
Mailing address
9845 HORN ROAD, SUITE 190, SACRAMENTO, CA 95827-2563
(916) 329-8555
(916) 476-4193
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC302
CA
Other
Enumeration date
11/09/2006
Last updated
04/27/2017
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