Individual
AMANDA NICOLE WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
10101 S PENN AVE, OKLAHOMA CITY, OK 73159-6929
(405) 740-1249
Mailing address
PO BOX 190, JONES, OK 73049-0190
(405) 740-1249
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11145
OK
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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