Individual
BRANDON WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
4408 PEACH ST STE 301, ERIE, PA 16509-1318
(814) 866-0905
Mailing address
4408 PEACH ST STE 301, ERIE, PA 16509-1318
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC008681
PA
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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