person
Shane Ray Wilson, LPC,LADC
Professional Counselor in Norman, Oklahoma
NPI 1063742138

Shane Ray Wilson is a Professional Counselor based in Norman, OK and is specialized in Professional. Shane Ray Wilson practices in Norman, OK and has the professional credentials of LPC,LADC. The NPI Number for Shane Ray Wilson is 1063742138 and holds a License No. 135 (Oklahoma).

The current practice location address for Shane Ray Wilson is 3750 W Main St Ste Aa, Norman, OK and can be reached out via phone at 405-474-9374.

Location: 3750 W Main St Ste Aa, Norman, OK, 73072-4645
person
Provider Profile Details
NPI Number
1063742138
Provider Name
Shane Ray Wilson
Credential
LPC,LADC
Provider Entity Type
Individual
Gender
Male
Address
3750 W Main St Ste Aa, Norman, OK, 73072-4645
Phone Number
405-474-9374
Fax Number
Provider Enumeration Date
01/12/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3750 W Main St Ste Aa
City
State
Zip
73072-4645
Phone Number
405-474-9374
Fax Number
person
Provider Business Mailing Address Details
Address
3750 W Main St Ste Aa
City
State
Zip
73072-4645
Phone Number
405-474-9374
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
2179 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
135 (Oklahoma)
Definition
Definition to come...
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