Individual
CASEY WYLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
9957 MOORINGS DR STE 302, JACKSONVILLE, FL 32257-2415
(888) 793-2304
(888) 793-2304
Mailing address
9957 MOORINGS DR STE 302, JACKSONVILLE, FL 32257-2415
(888) 793-2304
(888) 793-2304
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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