Individual provider · Type 1 NPI

Autumn Michele Wiborg, LPC

Mental Health Counselor · St. Charles, IL

NPI number 1396426185 Active

Practice location

1120 E Main St Ste 201
St. Charles, IL 60174-2287

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178019183 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1396426185

Autumn Michele Wiborg, LPC's National Provider Identifier is 1396426185, issued on Jul 26, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Charles, IL. The record was last updated on Jul 26, 2023.