Individual
MISS MARISSA LEANNE WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, CADC
Contact information
Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-3001
Mailing address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-2837
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
31168
IL
Other
Enumeration date
06/18/2020
Last updated
07/14/2025
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