person
Krista Wilson, MANCCLPC
Professional Counselor in Evanston, Illinois
NPI 1548883390

Krista Wilson is a Professional Counselor based in Evanston, IL and is specialized in Professional. Krista Wilson practices in Evanston, IL and has the professional credentials of MANCCLPC. The NPI Number for Krista Wilson is 1548883390 and holds a License No. LPCC.0017610 (Illinois).

The current practice location address for Krista Wilson is 800 Custer Ave Ste 5, Evanston, IL and can be reached out via phone at 847-425-1500 and via fax at 847-972-6277.

Location: 800 Custer Ave Ste 5, Evanston, IL, 60202-2273
person
Provider Profile Details
NPI Number
1548883390
Provider Name
Krista Wilson
Credential
MANCCLPC
Provider Entity Type
Individual
Gender
Female
Address
800 Custer Ave Ste 5, Evanston, IL, 60202-2273
Phone Number
847-425-1500
Fax Number
847-972-6277
Provider Enumeration Date
05/27/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
178.016784 01 IL ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION - LPC
6510458 01 AMERICAN COUNSELING ASSOCIATION
LPCC.0017610 01 CO DEPARTMENT OF REGULATORY AGENCIES
institution
Provider Business Practice Location Address Details
Address
800 Custer Ave Ste 5
City
State
Zip
60202-2273
Phone Number
847-425-1500
Fax Number
847-972-6277
person
Provider Business Mailing Address Details
Address
800 Custer Ave Ste 5
City
State
Zip
60202-2273
Phone Number
847-425-1500
Fax Number
847-972-6277
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
178.016784 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPCC.0017610 (Colorado)
Definition
Definition to come...
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