Individual
JUDY CHRISTINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS, LADC
Contact information
Practice address
7950 E. 41ST, TULSA, OK 74145-3215
(918) 621-1600
(918) 621-1600
Mailing address
7950 E. 41ST, TULSA, OK 74145-3215
(918) 621-1600
(918) 828-0155
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
85
OK
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R0049260
OK
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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