Individual
ALICIA WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2 BRONZE POINTE S, SWANSEA, IL 62226-8307
(618) 207-2547
Mailing address
4317 N PARK DR, BELLEVILLE, IL 62226-5313
(708) 351-0332
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.017682
IL
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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