Individual
EMMA WASSILAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
1100 NW 14TH ST, OKLAHOMA CITY, OK 73106-4450
(405) 609-8949
Mailing address
1100 NW 14TH ST, OKLAHOMA CITY, OK 73106-4450
(405) 609-8949
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200540070A
—
OK
Enumeration date
06/23/2014
Last updated
05/25/2016
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