IndividualActive
Christian Wylie
NPI 1043045883 · Mental Health Counselor · Central Point, OR
Provider details
- NPI number
- 1043045883
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 23-QMHA-R-3574 (OR)
Mailing address
3126 State St Ste 100
Medford, OR 97504-8665
Registry dates
- Enumerated
- 2024-09-03
- Last updated
- 2024-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.