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Individual

DR. MARY JANE ANDERSON-WILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., LMHC

Contact information

Practice address
349 OLD PLYMOUTH ROAD, SAGAMORE BEACH, MA 02562-2367
(706) 627-7770
(508) 213-3673
Mailing address
9 ROUNDHOUSE ROAD, BUZZARDS BAY, MA 02532-3873
(706) 627-7770
(508) 213-3673

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
9038
MA
101YM0800X
Mental Health Counselor
9038
MA
101YP2500X
Professional Counselor
Primary
9038
MA
101YS0200X
School Counselor
9038
MA
101YS0200X
School Counselor

Other

Enumeration date
06/08/2006
Last updated
08/28/2024
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