JODIE WYLIE

SAN JOSE, CA
NPI1992056618
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-09-20
Last Update Date2012-09-26
Business Address
-- JODIE WYLIE
90 GREAT OAKS BLVD 108
SAN JOSE, CA 95119-1314
Phone number: 408-281-0708
Mailing Address
-- JODIE WYLIE
90 GREAT OAKS BLVD
SAN JOSE, CA 95119-1314
Phone number: 408-281-0708