SHANE WILSON, LPC,LADC
Counselor - Professional
Active
Individual
NPI: 1063742138
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | No | 135 (OK) |
| Counselor - Professional | 101YP2500X | Yes | 2179 (OK) |
Frequently Asked Questions
NPI 1063742138 is the National Provider Identifier for SHANE WILSON, LPC,LADC, a Counselor - Professional provider located in Norman, OK. This NPI was enumerated on January 12, 2010.
SHANE WILSON, LPC,LADC practices at 3750 W MAIN ST STE AA, Norman, OK 73072.
Quick Facts
- NPI
- 1063742138
- Type
- Individual
- Enumerated
- Jan 12, 2010
- Last Updated
- Dec 21, 2023
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