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Individual

ERIN WESLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
2615 EDWARDS ST, ALTON, IL 62002-3915
(618) 462-2331
(618) 462-2504
Mailing address
2615 EDWARDS ST, ALTON, IL 62002-3915
(618) 462-2331
(618) 462-2504

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180008066
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
370798015014
IL
Enumeration date
01/18/2012
Last updated
01/18/2012
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