Provider Demographics
NPI:1891707410
Name:MCLAUGHLIN, WILMA L (LCPC)
Entity Type:Individual
Prefix:
First Name:WILMA
Middle Name:L
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 HERITAGE RD W
Mailing Address - Street 2:
Mailing Address - City:NORMAL
Mailing Address - State:IL
Mailing Address - Zip Code:61761-1303
Mailing Address - Country:US
Mailing Address - Phone:309-838-8634
Mailing Address - Fax:
Practice Address - Street 1:1411 N KICKAPOO ST STE 227
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:IL
Practice Address - Zip Code:62656-1800
Practice Address - Country:US
Practice Address - Phone:309-838-8634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180005670101YP2500X
IL180-005670101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional