Nickie Deann Wilson, LADC/MH

NPI #1891147245 in Claremore, Oklahoma

Provider Information

NPI Number
1891147245
Entity Type
Individual
Name
Nickie Deann Wilson, LADC/MH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LADC/MH
Enumeration Date
Jul 11, 2016
Last Updated
Mar 31, 2021

Practice Location

Address
3100 MEDICAL PKWY
ZIP Code
74017-1088
Phone
(918) 342-0770

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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