person
Anita Wiley, LCPC
Professional Counselor in La Plata, Maryland
NPI 1174773378

Anita Wiley is a Professional Counselor based in La Plata, MD and is specialized in Professional. Anita Wiley practices in La Plata, MD and has the professional credentials of LCPC. The NPI Number for Anita Wiley is 1174773378 and holds a License No. LC5129 (Maryland).

The current practice location address for Anita Wiley is 616 Charles St Ste 103, La Plata, MD and can be reached out via phone at 301-653-9587 and via fax at 301-653-9587.

Location: 616 Charles St Ste 103, La Plata, MD, 20646-5938
person
Provider Profile Details
NPI Number
1174773378
Provider Name
Anita Wiley
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
616 Charles St Ste 103, La Plata, MD, 20646-5938
Phone Number
301-653-9587
Fax Number
301-653-9587
Provider Enumeration Date
09/24/2008
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
58956180 05 MD
institution
Provider Business Practice Location Address Details
Address
616 Charles St Ste 103
City
State
Zip
20646-5938
Phone Number
301-653-9587
Fax Number
301-653-9587
person
Provider Business Mailing Address Details
Address
616 Charles St Ste 103
City
State
Zip
20646-5938
Phone Number
301-653-9587
Fax Number
301-653-9587
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
License No.
LC5129 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LC5129 (Maryland)
Definition
Definition to come...
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