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Destinie Wiltshire
Mental Health Counselor in Watts, Oklahoma
NPI 1992043707

Destinie Wiltshire is a Mental Health Counselor based in Colcord, OK and is specialized in Mental Health. Destinie Wiltshire practices in Watts, OK. The NPI Number for Destinie Wiltshire is 1992043707 and holds a License No. 100708280C (Oklahoma).

The current practice location address for Destinie Wiltshire is 201 Main Street, Watts, OK and can be reached out via phone at 918-442-4888.

Location: 201 Main Street, Watts, OK, 74338-2609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992043707
Provider Name
Destinie Wiltshire
Credential
Provider Entity Type
Individual
Gender
Female
Address
201 Main Street, Watts, OK, 74338-2609
Phone Number
918-442-4888
Fax Number
Provider Enumeration Date
01/29/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1003988726 01 NPI
institution
Provider Business Practice Location Address Details
Address
201 Main Street
City
Watts
State
Oklahoma
Zip
74964
Phone Number
918-442-4888
Fax Number
person
Provider Business Mailing Address Details
Address
201 Main Street
City
Watts
State
Oklahoma
Zip
74964
Phone Number
918-442-4888
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
100708280C (Oklahoma)
Definition
Definition to come...
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