Individual
TAYLOR WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
17100 W NORTH AVE STE 300, BROOKFIELD, WI 53005-4436
(262) 244-6177
(262) 299-3040
Mailing address
1035 W GLEN OAKS LN STE 110, MEQUON, WI 53092-3392
(262) 244-6178
(262) 299-3040
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4566-226
WI
101YP2500X
Professional Counselor
Primary
8641-225
WI
Other
Enumeration date
02/18/2020
Last updated
07/15/2022
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