Doctor Name: | MR. ROBERT ALLEN WILEY |
NPI Number: | 1063533032 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, LPC |
License Number: | 6401006190 |
Business Practice Address: | 218 S Washington St Mt Pleasant, MI - 488582514 |
Business Phone Number: | 9897799449 |
Business Fax Number: | 9897792922 |
Mailing Address: | 218 S Washington St, MT PLEASANT |
State: | MI |
Postal Code: | 488582514 |
Phone Number: | 9897799449 |
Fax Number: | 9897792922 |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401006190 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |