Individual
AMY WYSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 E GOBBI ST, UKIAH, CA 95482-5511
(707) 472-2922
Mailing address
350 E GOBBI ST, UKIAH, CA 95482-5511
(707) 472-2922
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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