Individual
DESTINIE WILTSHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
201 MAIN STREET, WATTS, OK 74964
(918) 442-4888
Mailing address
15520 E HOOTY CREEK RD, CLAREMORE, OK 74019-2105
(918) 776-7305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
100708280C
OK
101YP2500X
Professional Counselor
Primary
7547
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003988726
NPI
—
Enumeration date
01/29/2013
Last updated
01/20/2026
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