Individual
LESLIE WILLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W CHEROKEE AVE STE 102, ENID, OK 73701-5600
(580) 340-7235
Mailing address
300 W CHEROKEE AVE STE 102, ENID, OK 73701-5600
(580) 340-7235
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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