Individual provider · Type 1 NPI

Larissa Wilson

Mental Health Counselor · Oklahoma City, OK

NPI number 1639777410 Active

Practice location

9112 Rolling Green Ave
Oklahoma City, OK 73132-2055

Call (405) 249-6436 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1639777410

Larissa Wilson's National Provider Identifier is 1639777410, issued on Oct 13, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oklahoma City, OK. The record was last updated on Oct 13, 2020.