Organization
WILSON COUNSELING SERVICES, LLC
Active
Organization
WILSON COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA M WILSON LISW (OWNER/THERAPIST)
(319) 777-9268
Entity
Organization
Contact information
Practice address
1024 COURT AVE, MARENGO, IA 52301-1438
(319) 800-8522
Mailing address
1024 COURT AVE, MARENGO, IA 52301-1438
(319) 800-8522
(319) 359-4034
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06488
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811205792
NPPES
IA
05
—
600672671
—
IA
Enumeration date
01/09/2018
Last updated
02/03/2021
Update your record
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