| Dwilson Counseling, Pllc | |
|
640 Pierce Blvd Ste 200 O Fallon IL 62269-2584 | |
| (618) 406-2490 | |
| Not Available |
| Full Name | Dwilson Counseling, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 640 Pierce Blvd Ste 200, O Fallon, Illinois |
| Authorized Official Name and Position | Dominique Wilson (OWNER) |
| Authorized Official Contact | 6184062490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dwilson Counseling, Pllc 2126 Village Pkwy San Antonio TX 78251-2611 Ph: (317) 900-6556 | Dwilson Counseling, Pllc 640 Pierce Blvd Ste 200 O Fallon IL 62269-2584 Ph: (618) 406-2490 |
| NPI Number | 1053106633 |
|---|---|
| Provider Enumeration Date | 04/14/2025 |
| Last Update Date | 04/14/2025 |
| Certification Date | 04/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053106633 | NPI | - | NPPES |
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