Individual provider · Type 1 NPI

Nathan Ray Wilson, C.M.A.

Mental Health Counselor · Chickasha, OK

NPI number 1306959077 Active

Practice location

804 W Choctaw Ave
Chickasha, OK 73018-2310

Mailing address

4825 Bismarc Dr
Del City, OK 73115-4413

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1306959077

Nathan Ray Wilson, C.M.A.'s National Provider Identifier is 1306959077, issued on Aug 16, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chickasha, OK. The record was last updated on Jul 8, 2007.