Individual provider · Type 1 NPI

Brian Thomas Wilson

Professional Counselor · St. Louis, MO

NPI number 1487464004 Active

Practice location

3309 S Kingshighway Blvd
St. Louis, MO 63139-1101

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1487464004

Brian Thomas Wilson's National Provider Identifier is 1487464004, issued on Jan 8, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Jan 8, 2025.