| Wilson Counseling Services, Llc | |
|
5110 S Yale Ave Ste 412 Tulsa OK 74135-7483 | |
| (918) 574-2722 | |
| Not Available |
| Full Name | Wilson Counseling Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5110 S Yale Ave Ste 412, Tulsa, Oklahoma |
| Authorized Official Name and Position | Lucy Cianciolo Wilson (MANAGING MEMBER OF LLC) |
| Authorized Official Contact | 9186379457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson Counseling Services, Llc 4020 E 86th St Tulsa OK 74137-2606 Ph: (918) 637-9457 | Wilson Counseling Services, Llc 5110 S Yale Ave Ste 412 Tulsa OK 74135-7483 Ph: (918) 574-2722 |
| NPI Number | 1124385109 |
|---|---|
| Provider Enumeration Date | 04/16/2012 |
| Last Update Date | 05/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124385109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2466 (Oklahoma) | Primary |
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