Individual
BETHANY MARIE WIGINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2325 S. HARVARD, TULSA, OK 74114-3300
(918) 712-4301
Mailing address
650 S. PEORIA,, TULSA, OK 74120-4429
(918) 587-9471
(918) 560-1399
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
OK
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/28/2014
Last updated
09/02/2016
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