Individual provider · Type 1 NPI
Lisa Louise Wild, M.S.E.D, M.S.W.
Professional Counselor · Pinckneyville, IL
NPI number
1184733693
Active
Practice location
313 S Walnut St
Pinckneyville, IL 62274-1342
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
Another provider at this address
Other professional counselor providers in Pinckneyville
About NPI 1184733693
Lisa Louise Wild, M.S.E.D, M.S.W.'s National Provider Identifier is 1184733693, issued on Aug 29, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pinckneyville, IL. The record was last updated on Jul 8, 2007.