JOHNNIE L WYATT M.A. NPI 1871814491

NPI Information

Johnnie L Wyatt, M.A. is a mental health counselor in Oakland, CA. Johnnie L Wyatt, M.A. NPI is 1871814491. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10901 MACARTHUR BLVD
STE #202
OAKLAND, CA
ZIP 94605-200
Phone: (510) 430-1115
Fax: (510) 430-1116

The enumeration date for this NPI number is 6/17/2010 and was last updated on 6/17/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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