KAITLYN WILSON
NPI 1245960343
Counselor - Professional in Edwardsville, IL
- Individual
- Female
- Counselor
- Professional
About KAITLYN WILSON
This page provides the complete NPI Profile along with additional information for Kaitlyn Wilson, a provider established in Edwardsville, Illinois with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1245960343 assigned on June 2022. The practitioner's primary taxonomy code is 101YP2500X with license number 180.016326 (IL). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1245960343 Verify this NPI
- Provider Name
- KAITLYN WILSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 100 N MAIN ST STE 12 EDWARDSVILLE, IL 62025
- Location Phone
- (618) 513-9744
- Mailing Address
- 100 N MAIN ST STE 12 EDWARDSVILLE, IL 62025
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-13-2022
- Last Update Date
- 09-15-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 180.016326
- License State
- IL
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245960343, enumerated as an "individual" on June 13, 2022.
The provider is located at 100 N MAIN ST STE 12 EDWARDSVILLE, IL 62025 and the phone number is (618) 513-9744.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
