Organization
DWILSON COUNSELING, PLLC
Active
Other names
Optimal Focus Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE WILSON (OWNER)
(618) 406-2490
Entity
Organization
Contact information
Practice address
640 PIERCE BLVD STE 200, O FALLON, IL 62269-2584
(618) 406-2490
Mailing address
2126 VILLAGE PKWY, SAN ANTONIO, TX 78251-2611
(317) 900-6556
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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