Individual
MRS. JESSICA WISDOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC U/S
Contact information
Practice address
900 E MAIN ST, NORMAN, OK 73071-5305
(405) 573-6633
Mailing address
3016 BRETFORD WAY, NORMAN, OK 73071-1872
(405) 421-4849
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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