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Mrs. Shelby Erin Willis
Mental Health Counselor in Midwest City, Oklahoma
NPI 1760730931

Shelby Erin Willis is a Mental Health Counselor based in Midwest City, OK and is specialized in Mental Health. Shelby Erin Willis practices in Midwest City, OK. The NPI Number for Shelby Erin Willis is 1760730931 and holds a License No. 1972880300 (Oklahoma).

The current practice location address for Shelby Erin Willis is 624 Fairlane Dr, Midwest City, OK and can be reached out via phone at 405-600-4145.

Location: 624 Fairlane Dr, Midwest City, OK, 73110-1626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760730931
Provider Name
Shelby Erin Willis
Credential
Provider Entity Type
Individual
Gender
Female
Address
624 Fairlane Dr, Midwest City, OK, 73110-1626
Phone Number
405-600-4145
Fax Number
Provider Enumeration Date
08/20/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200427950A 01 OK KREATIVE BEHAVIORAL HEALTH SERVICES
institution
Provider Business Practice Location Address Details
Address
624 Fairlane Dr
City
Midwest City
State
Oklahoma
Zip
73110-1626
Phone Number
405-600-4145
Fax Number
person
Provider Business Mailing Address Details
Address
624 Fairlane Dr
City
Midwest City
State
Oklahoma
Zip
73110-1626
Phone Number
405-600-4145
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
1972880300 (Oklahoma)
Definition
Definition to come...
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