Individual
AUDREY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, CADC, CTP
Contact information
Practice address
800 E DIEHL RD STE 100, NAPERVILLE, IL 60563-2389
(630) 740-8922
Mailing address
1335 N MILL ST, NAPERVILLE, IL 60563-2261
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.012889
IL
Other
Enumeration date
02/01/2019
Last updated
02/20/2020
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