Organization
BEHAVIORAL HEALTH GROUP OF NORTHEASTERN OKLAHOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH SPENCER WILSON PHD (PSYCHOLOGIST/MANAGING MEMBER)
(918) 337-0900
Entity
Organization
Contact information
Practice address
501 S JOHNSTONE AVE, SUITE 510, BARTLESVILLE, OK 74003-6622
(918) 337-0900
Mailing address
501 S JOHNSTONE AVE, SUITE 510, BARTLESVILLE, OK 74003-6622
(918) 337-0900
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3199
OK
103TC1900X
Counseling Psychologist
Primary
966
OK
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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