Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crystal Wilson

Individual provider Case Manager/Care Coordinator · NPI 1730567520

Crystal Wilson is a Case Manager/Care Coordinator in Saint Louis, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

970 Executive Parkway Dr
Saint Louis, MO 63141-6302
Phone: (314) 628-6500
Fax: (314) 514-9916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 110 N Mill St, Festus, MO 63028-1816 — (636) 931-2700

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2015026784 (MO)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1730567520
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 12, 2015
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024

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