Individual provider · Type 1 NPI
Mary J. Wilson, MS LCPC
Professional Counselor · Mount Vernon, IL
NPI number
1609975705
Active
Practice location
123 S 10th, Suite 510
Mount Vernon, IL 62864
Fax (618) 242-8141
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180002360 (IL) |
Professional Counselor: Definition to come...
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About NPI 1609975705
Mary J. Wilson, MS LCPC's National Provider Identifier is 1609975705, issued on Sep 22, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mount Vernon, IL. The record was last updated on May 13, 2008.