| Audrey Wilson, Lcpc | |
|
1 Merchants Plz Ste 206 Oswego IL 60543-9453 | |
| (630) 740-8922 | |
| Not Available |
| Full Name | Audrey Wilson, Lcpc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1 Merchants Plz Ste 206, Oswego, Illinois |
| Authorized Official Name and Position | Audrey Wilson (CLINICAL THERAPIST) |
| Authorized Official Contact | 6307408922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Audrey Wilson, Lcpc 1 Merchants Plz Ste 206 Oswego IL 60543-9453 Ph: (630) 740-8922 | Audrey Wilson, Lcpc 1 Merchants Plz Ste 206 Oswego IL 60543-9453 Ph: (630) 740-8922 |
| NPI Number | 1083499255 |
|---|---|
| Provider Enumeration Date | 08/28/2023 |
| Last Update Date | 08/28/2023 |
| Certification Date | 08/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083499255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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