Mark Wyly, - Counselor in Diamond Springs, CA

Mark Wyly, is a Counselor - Mental Health based in Diamond Springs, California. Mark Wyly is licensed to practice in * (Not Available) (license number ) and his current practice location is 768 Pleasant Valley Rd, Ste. 304, Diamond Springs, California. He can be reached at his office (for appointments etc.) via phone at (530) 621-9800.

NPI number for Mark Wyly is 1093065617 and his current mailing address is 1202 School St, Folsom, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093065617.

Contact Information

Mark Wyly,
768 Pleasant Valley Rd, Ste. 304,
Diamond Springs, CA 95619-9260
(530) 621-9800
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMark Wyly
GenderMale
SpecialityCounselor - Mental Health
Location768 Pleasant Valley Rd, Diamond Springs, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093065617
  • Provider Enumeration Date: 09/11/2012
  • Last Update Date: 09/11/2012

Medical Identifiers

Medical identifiers for Mark Wyly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093065617NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Wyly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mark Wyly,
1202 School St,
Folsom, CA 95630-3309

Ph: (530) 621-9800
Mark Wyly,
768 Pleasant Valley Rd, Ste. 304,
Diamond Springs, CA 95619-9260

Ph: (530) 621-9800

Reviews and Comments


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