Individual provider · Type 1 NPI

Shannon E. Wickenhauser, BHRS

Mental Health Counselor · Oklahoma City, OK

NPI number 1992079529 Active

Practice location

4149 Highline Blvd, Suite 400
Oklahoma City, OK 73108-2103

Call (405) 949-1000 Map

Fax (405) 949-1063

Mailing address

19608 Harness Ct
Edmond, OK 73012-3408

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1992079529

Shannon E. Wickenhauser, BHRS's National Provider Identifier is 1992079529, issued on Feb 29, 2012. 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 Feb 29, 2012.