Individual provider · Type 1 NPI

Michael N. Wilson

Mental Health Counselor · Chicago, IL

NPI number 1003143967 Active

Practice location

1340 S Damen Ave
Chicago, IL 60608-1169

Fax (312) 666-6978

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X180.006114 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1003143967

Michael N. Wilson's National Provider Identifier is 1003143967, issued on Nov 12, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Nov 12, 2009.