Angela Renee Wilson, LPC

NPI #1467125419 in Mount Vernon, Illinois

Provider Information

NPI Number: 1467125419
Entity Type: Individual
Name: Angela Renee Wilson, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Jul 27, 2021
Last Updated: Jul 27, 2021

Practice Location

Address: 3 CUSUMANO PROFESSIONAL PLAZA DR
City: Mount Vernon
State: Illinois
ZIP Code: 62864-6736
Phone: (618) 267-3968

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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