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Wanda A Blackwell, MS,LPC
Counselor in Shawnee, Oklahoma
NPI 1740350396

Wanda A Blackwell is a Counselor based in Morris, OK. Wanda A Blackwell practices in Shawnee, OK and has the professional credentials of MS,LPC. The NPI Number for Wanda A Blackwell is 1740350396 and holds a License No. LPC #3140 (Oklahoma).

The current practice location address for Wanda A Blackwell is 1131 N Kickapoo Ave, Shawnee, OK and can be reached out via phone at 405-275-2877 and via fax at 405-275-2877.

Location: 1131 N Kickapoo Ave, Shawnee, OK, 74445-0003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740350396
Provider Name
Wanda A Blackwell
Credential
MS,LPC
Provider Entity Type
Individual
Gender
Female
Address
1131 N Kickapoo Ave, Shawnee, OK, 74445-0003
Phone Number
405-275-2877
Fax Number
405-275-2877
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1131 N Kickapoo Ave
City
Shawnee
State
Oklahoma
Zip
74801-4845
Phone Number
405-275-2877
Fax Number
405-275-2877
person
Provider Business Mailing Address Details
Address
1131 N Kickapoo Ave
City
Shawnee
State
Oklahoma
Zip
74801-4845
Phone Number
405-275-2877
Fax Number
405-275-2877
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LPC #3140 (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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