Mercedes Wilburn, LPC Valid NPI
Individual provider · Professional Counselor · Bridgeton, MO
- NPI
- 1477184075
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 2016045130 (MO)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2020-02-01
- Last updated
- 2020-02-01
Practice location
3751 Pennridge Dr Ste 119
Bridgeton, MO 63044-1244
(636) 336-6874