Individual provider · Type 1 NPI

Edwina Wilder, LPC

Professional Counselor · Springfield, MO

NPI number 1417018904 Active

Practice location

1722 S Glenstone Ave Ste Tt
Springfield, MO 65804-1517

Call (417) 881-2848 Map

Fax (417) 881-2640

Mailing address

5336 W Farm Road 54
Willard, MO 65781-8223

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X001832 (MO)

Professional Counselor: Definition to come...

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About NPI 1417018904

Edwina Wilder, LPC's National Provider Identifier is 1417018904, issued on Dec 12, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, MO. The record was last updated on Jul 9, 2007.