Individual provider · Type 1 NPI

Kimberly Deanne Wilson

Mental Health Counselor · Sallisaw, OK

NPI number 1891014551 Active

Practice location

205 J T Stites Blvd
Sallisaw, OK 74955-9323

Mailing address

210 S Jt Stites Blvd
Sallisaw, OK 74955

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1891014551

Kimberly Deanne Wilson's National Provider Identifier is 1891014551, issued on May 20, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sallisaw, OK. The record was last updated on May 19, 2021.