Individual provider · Type 1 NPI
Mary Kathleen Wilson
Professional Counselor · Pittsfield, IL
NPI number
1164642997
Active
Practice location
121 South Madison Street, Mental Health Centers Of Western Illinois
Pittsfield, IL 62363
Fax (217) 285-2804
Mailing address
33914 230th Street
Barry, IL 62312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
3 other providers at this address
Other professional counselor providers in Pittsfield
About NPI 1164642997
Mary Kathleen Wilson's National Provider Identifier is 1164642997, issued on Apr 26, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pittsfield, IL. The record was last updated on Jul 8, 2007.