Organization
AUDREY WILSON, LCPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY WILSON LCPC, CADC, CTP (CLINICAL THERAPIST)
(630) 740-8922
Entity
Organization
Contact information
Practice address
1 MERCHANTS PLZ STE 206, OSWEGO, IL 60543-9453
(630) 740-8922
Mailing address
1 MERCHANTS PLZ STE 206, OSWEGO, IL 60543-9453
(630) 740-8922
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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