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David Wilson
Mental Health Counselor in Matteson, Illinois
NPI 1326664079

David Wilson is a Mental Health Counselor based in Matteson, IL and is specialized in Mental Health. David Wilson practices in Matteson, IL. The NPI Number for David Wilson is 1326664079 and holds a License No. 149026095 (Illinois).

The current practice location address for David Wilson is 4350 211Th St Ste 210A, Matteson, IL and can be reached out via phone at 312-818-1192.

Location: 4350 211Th St Ste 210A, Matteson, IL, 60443-3082
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326664079
Provider Name
David Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
4350 211Th St Ste 210A, Matteson, IL, 60443-3082
Phone Number
312-818-1192
Fax Number
Provider Enumeration Date
06/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4350 211Th St Ste 210A
City
Matteson
State
Illinois
Zip
60443-3082
Phone Number
312-818-1192
Fax Number
person
Provider Business Mailing Address Details
Address
4350 211Th St Ste 210A
City
Matteson
State
Illinois
Zip
60443-3082
Phone Number
312-818-1192
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
149026095 (Illinois)
Definition
Definition to come...
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