Individual
KRISTIN LEEAN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
501 S JOHNSTONE AVE, SUITE 503, BARTLESVILLE, OK 74003-6622
(918) 337-6050
(918) 337-6061
Mailing address
501 S JOHNSTONE AVE, SUITE 503, BARTLESVILLE, OK 74003-6622
(918) 337-6050
(918) 337-6061
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3199
OK
Other
Enumeration date
10/26/2006
Last updated
09/10/2007
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