Individual provider · Type 1 NPI
Itai Chinhamo-Wilson, LPC CANDIDATE
Professional Counselor · Lawton, OK
NPI number
1225506264
Active
Practice location
1802 NW Ferris Ave
Lawton, OK 73507-5625
Mailing address
905 NE Rogers Ln Apt 1
Lawton, OK 73507-1735
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1225506264
Itai Chinhamo-Wilson, LPC CANDIDATE's National Provider Identifier is 1225506264, issued on Nov 7, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lawton, OK. The record was last updated on Nov 7, 2018.