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Shannon E Wickenhauser, BHRS
Mental Health Counselor in Oklahoma City, Oklahoma
NPI 1992079529

Shannon E Wickenhauser is a Mental Health Counselor based in Edmond, OK and is specialized in Mental Health. Shannon E Wickenhauser practices in Oklahoma City, OK and has the professional credentials of BHRS. The NPI Number for Shannon E Wickenhauser is 1992079529 and holds a License No. (Oklahoma).

The current practice location address for Shannon E Wickenhauser is 4149 Highline Blvd, Oklahoma City, OK and can be reached out via phone at 405-949-1000 and via fax at 405-949-1063.

Location: 4149 Highline Blvd, Oklahoma City, OK, 73012-3408
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Provider Profile Details
NPI Number
1992079529
Provider Name
Shannon E Wickenhauser
Credential
BHRS
Provider Entity Type
Individual
Gender
Female
Address
4149 Highline Blvd, Oklahoma City, OK, 73012-3408
Phone Number
405-949-1000
Fax Number
405-949-1063
Provider Enumeration Date
02/29/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200049040 05 OK
institution
Provider Business Practice Location Address Details
Address
4149 Highline Blvd
City
State
Zip
73108-2103
Phone Number
405-949-1000
Fax Number
405-949-1063
person
Provider Business Mailing Address Details
Address
4149 Highline Blvd
City
State
Zip
73108-2103
Phone Number
405-949-1000
Fax Number
405-949-1063
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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