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Martha Jane Wilson, LBP
Counselor in Valliant, Oklahoma
NPI 1720374614

Martha Jane Wilson is a Counselor based in Valliant, OK. Martha Jane Wilson practices in Valliant, OK and has the professional credentials of LBP. The NPI Number for Martha Jane Wilson is 1720374614 and holds a License No. 0277 (Oklahoma).

The current practice location address for Martha Jane Wilson is 300 N Dalton Ave, Valliant, OK and can be reached out via phone at 580-933-7031 and via fax at 580-933-7034.

Location: 300 N Dalton Ave, Valliant, OK, 74764-0673
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720374614
Provider Name
Martha Jane Wilson
Credential
LBP
Provider Entity Type
Individual
Gender
Female
Address
300 N Dalton Ave, Valliant, OK, 74764-0673
Phone Number
580-933-7031
Fax Number
580-933-7034
Provider Enumeration Date
06/20/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 N Dalton Ave
City
Valliant
State
Oklahoma
Zip
74764-0673
Phone Number
580-933-7031
Fax Number
580-933-7034
person
Provider Business Mailing Address Details
Address
300 N Dalton Ave
City
Valliant
State
Oklahoma
Zip
74764-0673
Phone Number
580-933-7031
Fax Number
580-933-7034
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
0277 (Oklahoma)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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