Wanda A Blackwell, MS, LPC

NPI #1740350396 in Shawnee, Oklahoma

Provider Information

NPI Number: 1740350396
Entity Type: Individual
Name: Wanda A Blackwell, MS, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: MS, LPC
Enumeration Date: Nov 9, 2006
Last Updated: Feb 9, 2010

Practice Location

Address: 1131 N KICKAPOO AVE
City: Shawnee
State: Oklahoma
ZIP Code: 74801-4845
Phone: (405) 275-2877

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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