Individual provider · Type 1 NPI

Wanda A. Blackwell, MS, LPC

Counselor · Shawnee, OK

NPI number 1740350396 Active

Practice location

1131 N Kickapoo Ave
Shawnee, OK 74801-4845

Call (405) 275-2877 Map

Fax (405) 275-2877

Mailing address

PO Box 3
Morris, OK 74445-0003

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLPC #3140 (OK)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1740350396

Wanda A. Blackwell, MS, LPC's National Provider Identifier is 1740350396, issued on Nov 9, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Shawnee, OK. The record was last updated on Feb 9, 2010.