MRS. Jessica Wisdom, LPC U/S

NPI #1063882645 in Norman, Oklahoma

Provider Information

NPI Number: 1063882645
Entity Type: Individual
Name: MRS. Jessica Wisdom, LPC U/S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LPC U/S
Enumeration Date: Sep 25, 2015
Last Updated: Sep 25, 2015

Practice Location

Address: 900 E MAIN ST
City: Norman
State: Oklahoma
ZIP Code: 73071-5305
Phone: (405) 573-6633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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