Michael N Wilson
Mental Health Counselor
1340 S Damen Ave
Chicago
, Illinois 60608-1169
Michael N Wilson
Mental Health Counselor
1340 S Damen Ave
Chicago
, Illinois 60608-1169
(312) 666-6978
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Michael N Wilson
- 1340 S Damen Ave
- Chicago, IL
- Zip : 60608-1169
- Fax : (312) 666-6978
- Phone : (312) 738-5926
Second Address
- Michael N Wilson
- 1340 S Damen Ave
- Chicago, IL
- Zip : 60608-1169
- Fax : (312) 666-6978
- Phone : (312) 738-5926
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | 180.006114 | IL |
National Provider Identifier
| NPI | 1003143967 |
|---|---|
| Provider Name | Michael N Wilson |
| First Address | Chicago, IL 60608-1169 |
| Second Address | Chicago, IL 60608-1169 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/11/2009 |
| Last Update Date | 12/11/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.