Wilson Standard Wellness
NPI #1104776376 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1104776376
- Entity Type
- Organization
- Organization Name
- Wilson Standard Wellness
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jan 29, 2026
- Last Updated
- Jan 29, 2026
Practice Location
- Address
- 100 N MAIN ST STE 12
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-1981
- Phone
- (618) 513-9744
Authorized Official
- Name
- KAITLYN WILSON, LCPC
- Title
- OWNER/THERAPIST
- Phone
- (618) 513-9744
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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