DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANE RAY WILSON, LPC,LADC

Active

SHANE RAY WILSON, LPC,LADC is a Professional Counselor healthcare provider located in NORMAN, Oklahoma. NPI 1063742138 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · NORMAN, OK

Registration Details

NPI Number
1063742138
Provider Type
Individual
Gender
Male
NPI Issued
Jan 12, 2010 (16.562119063526 yrs)
Last Updated
Dec 21, 2023
Licenses
135 (OK)
2179 (OK)

Practice Information

Address
3750 W MAIN ST STE AA
NORMAN, OK, 730724645
Browse OK providers · Browse ZIP 73072
Phone
4054749374
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in NORMAN, OK

Name Credential NPI
KRIS ICE MAT, LPC, ATR-BC 1770531006
BARBARA W WRIGHT LPC 1154363216
BEVERLY JEAN COMPTON-AMOS LPC 1598700452
RANDY L HENDRIX LPC,LMFT 1689601759
MS. MARY ANN SPAULDING LPC LADC 1003831181
MRS. KRISTI ANN TRAPP LPC, LADC 1629098454
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.