JOSEPH P WILEY

FAIRFAX, VA
NPI1902158124
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA  0710101643)
Enumeration Date2012-10-11
Last Update Date2012-10-11
Business Address
-- JOSEPH P WILEY CSAC
3020 JAVIER RD
FAIRFAX, VA 22031-4609
Phone number: 703-289-4985
Mailing Address
-- JOSEPH P WILEY CSAC
6256 LES DORSON LN
ALEXANDRIA, VA 22315-3229
Phone number: 703-289-4985