Mr. Carl Giovanni Wiley
Mr. Carl Giovanni Wiley is a Mental Health Counselor in Champaign, Illinois. Practices as a sole proprietor. Registered with an NPI since 2009.
- In the registry since
- 2009
- Specialties on file
- 4
Practice location Address checks out
1801 Fox DrChampaign, IL 61820-7236
Phone: (217) 359-5276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counseling Psychologist (primary) | Taxonomy 103TC1900X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
| Psychologist | Taxonomy 103T00000X |
| Group Psychotherapy Psychologist | Taxonomy 103TP2701X |
Record details
| NPI number | 1285961664 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 5, 2009 |
| Last updated in NPPES | November 5, 2009 |
| Mailing address | 1709 W Nelson St, Chicago, IL 60657-3028 |
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MS. Johanna Hermina Willemse, BA, MHP
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Sheronda Williams
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Mary J Winemiller, MHP
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