Shane Ray Wilson, LPC,LADC

NPI #1063742138 in Norman, Oklahoma

Provider Information

NPI Number
1063742138
Entity Type
Individual
Name
Shane Ray Wilson, LPC,LADC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LPC,LADC
Enumeration Date
Jan 12, 2010
Last Updated
Dec 21, 2023

Practice Location

Address
3750 W MAIN ST STE AA
City
Norman
ZIP Code
73072-4645
Phone
(405) 474-9374

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - ProfessionalProfessional

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