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Individual
KRISTA WILSON
Active
Individual
KRISTA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPCC.0017610
CO
101YP2500X
Professional Counselor
Primary
178.016784
IL
101YP2500X
Professional Counselor
180.016352
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178.016784
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION - LPC
IL
01
—
180.016352
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION - LCPC
IL
01
—
LPCC.0017610
DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
05/27/2020
Last updated
09/09/2024
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