Individual provider · Type 1 NPI

Cicely Wilson

Mental Health Counselor · Tulsa, OK

NPI number 1487984480 Active

Practice location

1516 S Boston Ave, 100
Tulsa, OK 74119-4003

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1487984480

Cicely Wilson's National Provider Identifier is 1487984480, issued on Jan 13, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tulsa, OK. The record was last updated on Jan 25, 2010.