Individual
VICKY M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
501 E 15TH ST STE 102, EDMOND, OK 73013-5043
(405) 285-9880
(405) 285-9877
Mailing address
501 E 15TH ST STE 102, EDMOND, OK 73013-5043
(405) 285-9880
(405) 285-9877
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/18/2013
Last updated
03/17/2015
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