Dominique Marie Wilson, MA, LCPC, CRC
Dominique Marie Wilson, MA, LCPC, CRC is a Mental Health Counselor in O Fallon, Illinois. Qualified in 2017, 9 years ago. Practices with Serene Path Wellness, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Nevada.
- Years since qualifying
- 9
- Licensed in
- IL, NV
- In the registry since
- 2018
- Specialties on file
- 3
What do these letters mean?
Practice location Address checks out
785 Wall St # 200O Fallon, IL 62269-1959
Phone: (618) 367-2194
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 3550 W Cheyenne Ave, North Las Vegas, NV 89032-8212 — (702) 570-5421
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 180.012945 (IL) |
|---|---|
| Counselor | Taxonomy 101Y00000X · Licence CI0365 (NV) |
| Mental Health Counselor | Taxonomy 101YM0800X · Licence CI0365 (NV) |
Record details
| NPI number | 1407345192 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MA , LCPC , CRC |
| Sole proprietor | Yes |
| NPI enumerated | May 8, 2018 |
| Last updated in NPPES | August 11, 2020 |
| Certification date | August 11, 2020 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Serene Path Wellness — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in O Fallon
-
Gina McKee, MS, MA, LCPC
220 E State St Ste 2G, O Fallon, IL 62269-1443 · (618) 727-0819
-
Michael Stier Therapy LLC
785 Wall St Ste 200, O Fallon, IL 62269-1959 · (314) 399-8808
-
Mrs. Angela Dion Mitchell, LCPC
784 Wall St Ste 100, O Fallon, IL 62269 · (618) 515-5158
-
Lynn Sewester Underwood, MA, LCPC
791 Wall St, O Fallon, IL 62269-2087 · (618) 514-1154
-
Brooke Wright
820 W Highway 50, O Fallon, IL 62269-1827 · (618) 792-5200