person
Jacqueline Ellen Wilson, MAQMHP
Mental Health Counselor in Waterloo, Illinois
NPI 1972717205

Jacqueline Ellen Wilson is a Mental Health Counselor based in Belleville, IL and is specialized in Mental Health. Jacqueline Ellen Wilson practices in Waterloo, IL and has the professional credentials of MAQMHP. The NPI Number for Jacqueline Ellen Wilson is 1972717205 and holds a License No. (Illinois).

The current practice location address for Jacqueline Ellen Wilson is 988 N Illinois Route 3, Waterloo, IL and can be reached out via phone at 618-939-4444.

Location: 988 N Illinois Route 3, Waterloo, IL, 62221-7801
person
Provider Profile Details
NPI Number
1972717205
Provider Name
Jacqueline Ellen Wilson
Credential
MAQMHP
Provider Entity Type
Individual
Gender
Female
Address
988 N Illinois Route 3, Waterloo, IL, 62221-7801
Phone Number
618-939-4444
Fax Number
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
988 N Illinois Route 3
City
State
Zip
62298-1000
Phone Number
618-939-4444
Fax Number
person
Provider Business Mailing Address Details
Address
988 N Illinois Route 3
City
State
Zip
62298-1000
Phone Number
618-939-4444
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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