Individual
ELISE INGELS WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2081 COLLIER CORPORATE PKWY, SAINT CHARLES, MO 63303-6701
(636) 736-0078
Mailing address
446 SWEETGRASS DR, WENTZVILLE, MO 63385-2789
(636) 445-0193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2025050208
MO
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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