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

MS. Tiffany Andrae Wilson

Individual provider Mental Health Counselor · NPI 1992359046

MS. Tiffany Andrae Wilson is a Mental Health Counselor in Crystal Lake, Illinois. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

145 S Virginia St
Crystal Lake, IL 60014-7226
Phone: (815) 527-7300
Fax: (815) 356-6680
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1992359046
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 27, 2019
Last updated in NPPESSeptember 24, 2020
Certification dateSeptember 24, 2020

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