Dominique Marie Wilson, MA, LCPC, CRC
NPI #1407345192 in O Fallon, Illinois
Provider Information
- NPI Number
- 1407345192
- Entity Type
- Individual
- Name
- Dominique Marie Wilson, MA, LCPC, CRC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- MA, LCPC, CRC
- Enumeration Date
- May 8, 2018
- Last Updated
- Aug 11, 2020
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
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