Organization · Type 2 NPI
Wilson Standard Wellness
Professional Counselor · Edwardsville, IL
NPI number
1104776376
Active
Practice location
100 N Main St Ste 12
Edwardsville, IL 62025-1981
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1104776376
Wilson Standard Wellness's National Provider Identifier is 1104776376, issued on Jan 29, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Edwardsville, IL. The record was last updated on Jan 29, 2026.