| Mark Wyly, | |
|
768 Pleasant Valley Rd, Ste. 304, Diamond Springs, CA 95619-9260 | |
| (530) 621-9800 | |
| Not Available |
| Full Name | Mark Wyly |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 768 Pleasant Valley Rd, Diamond Springs, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093065617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice 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 |
P'anna Jefferies, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4250 Fowler Ln, Diamond Springs, CA 95619 Phone: 530-626-2589 | |
Kara Rose Okumura, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4250 Fowler Ln, Diamond Springs, CA 95619 Phone: 530-626-3105 | |
Kim Marie Dillon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 768 Pleasant Valley Rd, Suite 102, Diamond Springs, CA 95619 Phone: 530-621-6116 Fax: 530-295-2532 | |
Angelique Danielle Laprise, SUDRC #12534 Counselor Medicare: Not Enrolled in Medicare Practice Location: 484 Pleasant Valley Rd., # 4, Diamond Springs, CA 95619 Phone: 530-344-7633 Fax: 530-497-5202 | |
Robin Sullivan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4250 Fowler Ln, Diamond Springs, CA 95619 Phone: 530-295-1491 | |
Suzanne Mcloed, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4250 Fowler Ln, Diamond Springs, CA 95619 Phone: 530-295-1491 Fax: 530-621-1082 | |
Benjamin Saubolle-camacho, APCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4250 Fowler Ln Ste 204, Diamond Springs, CA 95619 Phone: 530-626-3105 |