DOMINIQUE M WILSON LCPC NPI 1225584188

NPI Information

NPI: 1225584188
Provider Name: DOMINIQUE M WILSON, LCPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1616 W MAIN ST STE 503
MARION, IL
ZIP 62959
Phone: (618) 703-3038
Get Directions

Dominique M Wilson, LCPC is a mental health counselor in Marion, IL. Dominique M Wilson, LCPC NPI is 1225584188. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1616 W MAIN ST STE 503
MARION, IL
ZIP 62959-146
Phone: (618) 703-3038

The enumeration date for this NPI number is 8/31/2016 and was last updated on 3/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	180.011802	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »