Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMINIQUE MARIE WILSON, MA, LCPC, CRC
Active Sole ProprietorDOMINIQUE MARIE WILSON, MA, LCPC, CRC is a Professional Counselor healthcare provider located in O FALLON, Illinois. NPI 1407345192 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · O FALLON, IL
Registration Details
- NPI Number
- 1407345192
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 8, 2018 (8.2520373494044 yrs)
- Last Updated
- Aug 11, 2020
- Licenses
-
CI0365 (NV)CI0365 (NV)180.012945 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
785 WALL ST # 200O FALLON, IL, 622691959Browse IL providers · Browse ZIP 62269
- Phone
- 6183672194
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in O FALLON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. STEVE D HEITKAMP | DMIN, LCPC | 1609867712 |
| AMY C CHAMPION | LCPC | 1285782474 |
| DR. NANCY CAROL MORRISON | PH.D. | 1245446376 |
| DR. JULIE ENKELMANN SMIRL | PHD, LCPC | 1457556672 |
| LORI ANN MCALLISTER | LCPC | 1245495100 |
| MS. STEFANIE ROSEL JOHNSON | LCPC | 1871821074 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.