Individual
JAMES MICHAEL WYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC,NCC,CASAC
Contact information
Practice address
358 VETERANS MEMORIAL HWY STE 12, COMMACK, NY 11725-4326
(631) 796-7205
(631) 625-3130
Mailing address
107 WARTBURG AVE APT 156, COPIAGUE, NY 11726-2923
(631) 796-7205
(631) 625-3130
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
300248
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
28052
NY
101YM0800X
Mental Health Counselor
005333-1
NY
Other
Enumeration date
10/13/2014
Last updated
08/20/2024
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