Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Wyly

Individual provider Mental Health Counselor · NPI 1093065617

Mark Wyly is a Mental Health Counselor in Diamond Springs, California. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

768 Pleasant Valley Rd Ste 304
Diamond Springs, CA 95619-9260
Phone: (530) 621-9800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1093065617
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 11, 2012
Last updated in NPPESSeptember 11, 2012

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