Individual provider · Type 1 NPI

Billy Wideman, MS, NCC, LPC

Mental Health Counselor · Claremore, OK

NPI number 1902271364 Active

Practice location

12005 E 470 Rd
Claremore, OK 74017-3737

Call (918) 342-0770 Map

Fax (918) 342-0087

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1902271364

Billy Wideman, MS, NCC, LPC's National Provider Identifier is 1902271364, issued on Dec 9, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Claremore, OK. The record was last updated on Jun 2, 2020.