Provider Demographics
NPI:1790843910
Name:WILEY, R. BOBBIE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:R. BOBBIE
Middle Name:
Last Name:WILEY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:R. BOBBIE
Other - Middle Name:
Other - Last Name:WILEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSHMC
Mailing Address - Street 1:4350 CORDATA PKWY #102
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-8278
Mailing Address - Country:US
Mailing Address - Phone:360-922-6977
Mailing Address - Fax:
Practice Address - Street 1:4350 CORDATA PKWY #102
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-8278
Practice Address - Country:US
Practice Address - Phone:360-922-6977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health