Individual
KENDRA LAPRI WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC II
Contact information
Practice address
1950 MADISON AVE, MEMPHIS, TN 38104-2707
(901) 522-1002
Mailing address
5721 SILVERCREEK DRIVE SOUTH, APARTMENT 4, MEMPHIS, TN 38134
(901) 440-9489
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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