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Ms. Waketa Jalon Wilson
Counselor in Edmond, Oklahoma
NPI 1730512179

Waketa Jalon Wilson is a Counselor based in Edmond, OK. Waketa Jalon Wilson practices in Edmond, OK. The NPI Number for Waketa Jalon Wilson is 1730512179 and holds a License No. (Oklahoma).

The current practice location address for Waketa Jalon Wilson is 2921 Nw 156Th St, Edmond, OK and can be reached out via phone at 405-513-7794 and via fax at 405-513-7796.

Location: 2921 Nw 156Th St, Edmond, OK, 73012-9799
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730512179
Provider Name
Waketa Jalon Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2921 Nw 156Th St, Edmond, OK, 73012-9799
Phone Number
405-513-7794
Fax Number
405-513-7796
Provider Enumeration Date
08/20/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2921 Nw 156Th St
City
Edmond
State
Oklahoma
Zip
73013-2101
Phone Number
405-513-7794
Fax Number
405-513-7796
person
Provider Business Mailing Address Details
Address
2921 Nw 156Th St
City
Edmond
State
Oklahoma
Zip
73013-2101
Phone Number
405-513-7794
Fax Number
405-513-7796
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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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