Individual
TANIVA WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
645 PENN ST STE 2, READING, PA 19601-3543
(610) 373-4281
Mailing address
11 ROBINSON ST, POTTSTOWN, PA 19464-6421
(484) 941-0500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
11/26/2018
Last updated
01/28/2022
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