person
Mark Wyly
Mental Health Counselor in Diamond Springs, California
NPI 1093065617

Mark Wyly is a Mental Health Counselor based in Folsom, CA and is specialized in Mental Health. Mark Wyly practices in Diamond Springs, CA. The NPI Number for Mark Wyly is 1093065617 and holds a License No. (California).

The current practice location address for Mark Wyly is 768 Pleasant Valley Rd, Diamond Springs, CA and can be reached out via phone at 530-621-9800.

Location: 768 Pleasant Valley Rd, Diamond Springs, CA, 95630-3309
person
Provider Profile Details
NPI Number
1093065617
Provider Name
Mark Wyly
Credential
Provider Entity Type
Individual
Gender
Male
Address
768 Pleasant Valley Rd, Diamond Springs, CA, 95630-3309
Phone Number
530-621-9800
Fax Number
Provider Enumeration Date
09/11/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
768 Pleasant Valley Rd
City
State
Zip
95619-9260
Phone Number
530-621-9800
Fax Number
person
Provider Business Mailing Address Details
Address
768 Pleasant Valley Rd
City
State
Zip
95619-9260
Phone Number
530-621-9800
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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