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Patrick Wiley
Addiction (Substance Use Disorder) Counselor in Menasha, Wisconsin
NPI 1104987981

Patrick Wiley is an Addiction (Substance Use Disorder) Counselor based in Appleton, WI and is specialized in Addiction (Substance Use Disorder). Patrick Wiley practices in Menasha, WI. The NPI Number for Patrick Wiley is 1104987981 and holds a License No. 516 (Wisconsin).

The current practice location address for Patrick Wiley is 1095 Midway Rd, Menasha, WI and can be reached out via phone at 920-720-2300.

Location: 1095 Midway Rd, Menasha, WI, 54912-8003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104987981
Provider Name
Patrick Wiley
Credential
Provider Entity Type
Individual
Gender
Male
Address
1095 Midway Rd, Menasha, WI, 54912-8003
Phone Number
920-720-2300
Fax Number
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39314300 05 WI
institution
Provider Business Practice Location Address Details
Address
1095 Midway Rd
City
Menasha
State
Wisconsin
Zip
54952-1115
Phone Number
920-720-2300
Fax Number
person
Provider Business Mailing Address Details
Address
1095 Midway Rd
City
Menasha
State
Wisconsin
Zip
54952-1115
Phone Number
920-720-2300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
516 (Wisconsin)
Definition
Definition to come...
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