Individual
JENNIFER D COLEMAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
301 W I 240 SERVICE RD, OKLAHOMA CITY, OK 73139-7701
(405) 424-7711
Mailing address
430 W WILSHIRE BLVD, OKLAHOMA CITY, OK 73116-7771
(405) 761-4970
(405) 521-8652
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11272
OK
101YP2500X
Professional Counselor
Primary
11272
OK
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
07/12/2012
Last updated
06/12/2025
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