Individual provider · Type 1 NPI

Carolyn Marie Wilson

Mental Health Counselor · Tulsa, OK

NPI number 1790908697 Active

Practice location

2325 S Harvard Ave, Ste 500
Tulsa, OK 74114-3300

Call (918) 712-4301 Map

Fax (918) 712-3409

Mailing address

5315 E Marshall Pl
Tulsa, OK 74115-5587

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1790908697

Carolyn Marie Wilson's National Provider Identifier is 1790908697, issued on Apr 10, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tulsa, OK. The record was last updated on Sep 23, 2010.