Grant J Wylie, - Counselor in Longview, WA

Grant J Wylie, is a Counselor - Mental Health based in Longview, Washington. Grant J Wylie is licensed to practice in * (Not Available) (license number ) and his current practice location is 1105 Broadway St, Longview, Washington. He can be reached at his office (for appointments etc.) via phone at (360) 425-8679.

NPI number for Grant J Wylie is 1285038018 and his current mailing address is 1105 Broadway St, Longview, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285038018.

Contact Information

Grant J Wylie,
1105 Broadway St,
Longview, WA 98632-3830
(360) 425-8679
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameGrant J Wylie
GenderMale
SpecialityCounselor - Mental Health
Location1105 Broadway St, Longview, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1285038018
  • Provider Enumeration Date: 10/22/2014
  • Last Update Date: 10/22/2014

Medical Identifiers

Medical identifiers for Grant J Wylie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285038018NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Grant J Wylie is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Grant J Wylie,
1105 Broadway St,
Longview, WA 98632-3830

Ph: (360) 425-8679
Grant J Wylie,
1105 Broadway St,
Longview, WA 98632-3830

Ph: (360) 425-8679

Reviews and Comments


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