Individual provider · Type 1 NPI

Crystal Wilson

Professional Counselor · St. Louis, MO

NPI number 1730567520 Active

Practice location

970 Executive Parkway Dr
St. Louis, MO 63141-6302

Call (314) 628-6500 Map

Fax (314) 514-9916

Other practice locations

  • 110 N Mill St, Festus, MO 63028-1816 · (636) 931-2700

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Professional Counselor Primary 101YP2500X2015026784 (MO)

Professional Counselor: Definition to come...

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About NPI 1730567520

Crystal Wilson's National Provider Identifier is 1730567520, issued on May 12, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Nov 20, 2024.