Individual provider · Type 1 NPI

Mercedes Wilburn, LPC

Professional Counselor · Bridgeton, MO

NPI number 1477184075 Active

Practice location

3751 Pennridge Dr Ste 119
Bridgeton, MO 63044-1244

Mailing address

1225 Bluegrass Dr
St. Louis, MO 63137-1209

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2016045130 (MO)

Professional Counselor: Definition to come...

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About NPI 1477184075

Mercedes Wilburn, LPC's National Provider Identifier is 1477184075, issued on Feb 1, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bridgeton, MO. The record was last updated on Feb 1, 2020.