Individual
MR. JEFFERY ALLAN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1702 S NOGALES AVE, TULSA, OK 74107-1834
(918) 798-2162
Mailing address
1702 S NOGALES AVE, TULSA, OK 74107-1834
(918) 798-2162
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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