Provider Demographics
NPI:1528125457
Name:WILEY, NOEL JANETTE
Entity type:Individual
Prefix:MS
First Name:NOEL
Middle Name:JANETTE
Last Name:WILEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5063 MIDWAY RD
Mailing Address - Street 2:33 1SUN SHOWER CIR
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688-9697
Mailing Address - Country:US
Mailing Address - Phone:707-678-5614
Mailing Address - Fax:707-678-4690
Practice Address - Street 1:331 SUN SHOWER CIR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-6729
Practice Address - Country:US
Practice Address - Phone:707-529-8796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health