Individual provider · Type 1 NPI

Kaitlyn Wilson

Professional Counselor · Edwardsville, IL

NPI number 1245960343 Active

Practice location

100 N Main St Ste 12
Edwardsville, IL 62025-1981

Call (618) 513-9744 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.016326 (IL)

Professional Counselor: Definition to come...

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About NPI 1245960343

Kaitlyn Wilson's National Provider Identifier is 1245960343, issued on Jun 13, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Edwardsville, IL. The record was last updated on Sep 15, 2025.