Individual
JAMES WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9520 W PALM LN, PHOENIX, AZ 85037-4403
(623) 289-1654
Mailing address
PO BOX 1821, TEMPE, AZ 85280-1821
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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