Audrey Wilson, Lcpc

NPI #1083499255 in Oswego, Illinois

Provider Information

NPI Number: 1083499255
Entity Type: Organization
Organization Name: Audrey Wilson, Lcpc
Primary Specialty: Counselor - Mental Health
Enumeration Date: Aug 28, 2023
Last Updated: Aug 28, 2023

Practice Location

Address: 1 MERCHANTS PLZ STE 206
City: Oswego
State: Illinois
ZIP Code: 60543-9453
Phone: (630) 740-8922

Authorized Official

Name: AUDREY WILSON, LCPC, CADC, CTP
Title: CLINICAL THERAPIST
Phone: (630) 740-8922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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