Individual provider · Type 1 NPI

Kendra Wilson

Counselor · La Grange Park, IL

NPI number 1619484185 Active

Practice location

333 N La Grange Rd
La Grange Park, IL 60526-5646

Fax (708) 698-5090

Mailing address

14614 Thomas Jefferson Dr
Plainfield, IL 60544-4424

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1619484185

Kendra Wilson's National Provider Identifier is 1619484185, issued on Jan 5, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in La Grange Park, IL. The record was last updated on Jan 5, 2018.