Wiley, Carl Giovanni

Wiley, Carl Giovanni is an sole proprietor health care provider with primary practice located at 1801 Fox Dr , Champaign IL 61820-7236. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Counseling is his primary health care specialty. Wiley, Carl Giovanni can be contacted via phone (217) 359-5276.

Contact Information

Primary practice address
1801 Fox Dr Champaign IL 61820-7236
Phone: (217) 359-5276
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X

Profile Details

NPI number 1285961664
LBN Legal business name Wiley, Carl Giovanni
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2009
Last updated Nov 5th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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