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Organization
WILSON STANDARD WELLNESS
Active
Organization
WILSON STANDARD WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLYN WILSON LCPC (OWNER/THERAPIST)
(618) 513-9744
Entity
Organization
Contact information
Practice address
100 N MAIN ST STE 12, EDWARDSVILLE, IL 62025-1981
(618) 513-9744
Mailing address
100 N MAIN ST STE 12, EDWARDSVILLE, IL 62025-1981
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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