Individual
MRS. KENITRES MARCELL WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1001 CUSTER RD, PLANO, TX 75075-8309
(469) 752-6716
Mailing address
609 S GOLIAD ST UNIT 1745, ROCKWALL, TX 75087-4061
(972) 813-9117
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
82487
TX
Other
Enumeration date
11/06/2019
Last updated
01/19/2023
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