Dominique M Wilson, MA, LCPC
Dominique M Wilson, MA, LCPC is a Mental Health Counselor in Carbondale, Illinois. Qualified in 2015, 11 years ago. Practices with Centerstone of Illinois Inc, a 43-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 11
- Licensed in
- IL
- In the registry since
- 2016
What do these letters mean?
Practice location Address checks out
2311 S Illinois AveCarbondale, IL 62903-5912
Phone: (618) 457-6703
Fax: (618) 549-3734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 180.011802 (IL) |
|---|
Record details
| NPI number | 1225584188 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MA , LCPC |
| Sole proprietor | No |
| NPI enumerated | August 31, 2016 |
| Last updated in NPPES | March 17, 2025 |
| Certification date | March 17, 2025 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Centerstone Of Illinois Inc — 43 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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Zachary Woosley, MA, LCPC
2311 S Illinois Ave, Carbondale, IL 62903-5912 · (618) 457-6703
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