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Kimberli Leesa Wylie
Addiction (Substance Use Disorder) Counselor in Malone, New York
NPI 1831628817

Kimberli Leesa Wylie is an Addiction (Substance Use Disorder) Counselor based in Malone, NY and is specialized in Addiction (Substance Use Disorder). Kimberli Leesa Wylie practices in Malone, NY. The NPI Number for Kimberli Leesa Wylie is 1831628817 and holds a License No. (New York).

The current practice location address for Kimberli Leesa Wylie is 31 6Th St, Malone, NY and can be reached out via phone at 518-483-3261.

Location: 31 6Th St, Malone, NY, 12953-1246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831628817
Provider Name
Kimberli Leesa Wylie
Credential
Provider Entity Type
Individual
Gender
Female
Address
31 6Th St, Malone, NY, 12953-1246
Phone Number
518-483-3261
Fax Number
Provider Enumeration Date
06/05/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
31 6Th St
City
Malone
State
New York
Zip
12953-1246
Phone Number
518-483-3261
Fax Number
person
Provider Business Mailing Address Details
Address
31 6Th St
City
Malone
State
New York
Zip
12953-1246
Phone Number
518-483-3261
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.
36737 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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