| Mrs Mary J Wilson, MS LCPC | |
|
123 S 10th, Suite 510, Mt Vernon, IL 62864 | |
| (618) 242-8139 | |
| (618) 242-8141 |
| Full Name | Mrs Mary J Wilson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 123 S 10th, Mt Vernon, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609975705 | NPI | - | NPPES |
| 180002360 | Other | IL | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180002360 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mary J Wilson, MS LCPC 123 S 10th, Suite 510, Mt Vernon, IL 62864 Ph: (618) 242-8139 | Mrs Mary J Wilson, MS LCPC 123 S 10th, Suite 510, Mt Vernon, IL 62864 Ph: (618) 242-8139 |
James Kellerman, M.H.P. Counselor Medicare: Not Enrolled in Medicare Practice Location: 16342 N Il Hwy 37, Mt Vernon, IL 62864 Phone: 618-242-1510 Fax: 618-242-0958 | |
Teresa L Barnfield, MS LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16342 N Il Hwy 37, Mt Vernon, IL 62864 Phone: 618-242-1510 Fax: 618-242-0958 | |
Monique Stuckey, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 16348 N Il Hwy 37, Mt Vernon, IL 62864 Phone: 618-242-1510 Fax: 618-242-0958 | |
Mrs. Keli Erin Tate, MS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: #1 Doctor Park Road, Suite H, Mt Vernon, IL 62864 Phone: 618-244-0344 Fax: 618-244-1455 | |
Larry W Knopp, MA LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16342 N Il Hwy 37, Mt Vernon, IL 62864 Phone: 618-242-1510 Fax: 618-242-0958 | |
Janice G Cook, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 S 10th St, Ste 510, Mt Vernon, IL 62864 Phone: 618-242-8139 Fax: 618-242-8141 |