Individual
MRS. JENNIE LEIGH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC, RPT-S
Contact information
Practice address
2081 COLLIER CORPORATE PKWY, SAINT CHARLES, MO 63303-6701
(636) 255-0002
(636) 634-4777
Mailing address
2081 COLLIER CORPORATE PKWY, SAINT CHARLES, MO 63303-6701
(636) 255-0002
(636) 634-4777
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2009012843
MO
Other
Enumeration date
08/30/2009
Last updated
09/18/2013
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