MRS. Mary J Wilson, MS LCPC

NPI #1609975705 in Mt Vernon, Illinois

Provider Information

NPI Number
1609975705
Entity Type
Individual
Name
MRS. Mary J Wilson, MS LCPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
MS LCPC
Enumeration Date
Sep 22, 2006
Last Updated
May 13, 2008

Practice Location

Address
123 S 10TH
Address 2
SUITE 510
ZIP Code
62864
Phone
(618) 242-8139

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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