Individual
JAMIE RAY WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
500 WESTFIELD RD STE 221, CHARLOTTESVILLE, VA 22901-1735
(434) 234-4457
Mailing address
500 WESTFIELD RD STE 221, CHARLOTTESVILLE, VA 22901-1735
(434) 234-4457
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701006375
VA
101YP2500X
Professional Counselor
Primary
12493
CA
Other
Enumeration date
11/09/2015
Last updated
11/12/2025
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