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

Jacqueline Ellen Wilson, MAQMHP

Individual provider Mental Health Counselor · NPI 1972717205

Jacqueline Ellen Wilson, MAQMHP is a Mental Health Counselor in Waterloo, Illinois. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

988 N Illinois Route 3
Waterloo, IL 62298-1000
Phone: (618) 939-4444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1972717205
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAQMHP
Sole proprietorNo
NPI enumeratedMay 9, 2007
Last updated in NPPESJuly 8, 2007

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