Individual
JAMES BARRY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
201 PARK PL, SUITE 2, BOURBONNAIS, IL 60914
(815) 545-0921
Mailing address
1330 GEORGETOWN RD, BOURBONNAIS, IL 60914-1883
(815) 545-0921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180-005550
IL
Other
Enumeration date
12/21/2006
Last updated
10/01/2008
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