Organization
DWILSON COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE WILSON LCPC (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
8703 WOODS END ST, SAN ANTONIO, TX 78240-3739
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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