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JACQUELINE ELLEN WILSON MAQMHP
NPI 1972717205
Counselor - Mental Health in Waterloo, IL

Active since May 09, 2007
988 N ILLINOIS ROUTE 3, WATERLOO, IL 62298(618) 939-4444 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacqueline Ellen Wilson Maqmhp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE ELLEN WILSON MAQMHP (NPI 1972717205) is an individual mental health provider in Waterloo, Illinois and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1972717205
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELINE ELLEN WILSONCredential: MAQMHP
Location Address988 N ILLINOIS ROUTE 3Waterloo, IL 62298-1000
Mailing Address17 W Waters Edge DrBelleville, IL 62221-7801 · (618) 789-7385
Phone(618) 939-4444
Sole ProprietorNo
Enumeration DateMay 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1972717205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
988 N ILLINOIS ROUTE 3, Waterloo, IL 62298
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBRA WILKERSON LPN
Licensed Practical Nurse
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
DANIEL MOLL RSA
Rehabilitation Practitioner
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
BONNIE LEWIS RSA
Rehabilitation Practitioner
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
MARY GATES-GULLY MS, CADC
Counselor (Addiction (Substance Use Disorder))
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
SHYRL HAMILTON MHP
Case Manager/Care Coordinator
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
STEPHANIE MOORE LCSW
Social Worker
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
ABAGAIL JEAN WHITAKER RSA
Rehabilitation Practitioner
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
PEGGY ANN WORK MHP
Rehabilitation Practitioner
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Wilson's NPI number?

The NPI number for Jacqueline Wilson is 1972717205. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Jacqueline Wilson located?

Jacqueline Wilson practices at 988 N Illinois Route 3, Waterloo, IL 62298. The listed phone number is (618) 939-4444.

What is Jacqueline Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jacqueline Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.