Individual provider · Type 1 NPI

Polly Wilson

Professional Counselor · Ardmore, OK

NPI number 1508150350 Active

Practice location

2502 Crossroads Dr, B
Ardmore, OK 73401-2503

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1582 (OK)

Professional Counselor: Definition to come...

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About NPI 1508150350

Polly Wilson's National Provider Identifier is 1508150350, issued on Jun 8, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ardmore, OK. The record was last updated on Jun 8, 2011.