| Mrs Lisa Louise Wild, MSED, MSW | |
|
313 S Walnut St, Pinckneyville, IL 62274-1342 | |
| (618) 357-1407 | |
| Not Available |
| Full Name | Mrs Lisa Louise Wild |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 313 S Walnut St, Pinckneyville, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184733693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa Louise Wild, MSED, MSW 313 S Walnut St, Pinckneyville, IL 62274-1342 Ph: (618) 357-1407 | Mrs Lisa Louise Wild, MSED, MSW 313 S Walnut St, Pinckneyville, IL 62274-1342 Ph: (618) 357-1407 |
Dawn M Galbraith, CLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 907 S Main St, Pinckneyville, IL 62274 Phone: 618-357-5371 Fax: 618-357-3190 | |
Terry Lewis Jackson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 W Water St, Pinckneyville, IL 62274 Phone: 618-357-3396 Fax: 618-357-3396 |