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

LARISSA WILSON

Active Sole Proprietor

LARISSA WILSON is a Mental Health Counselor healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1639777410 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · OKLAHOMA CITY, OK

Registration Details

NPI Number
1639777410
Provider Type
Individual
Gender
Female
NPI Issued
Oct 13, 2020 (5.816077380023 yrs)
Last Updated
Oct 13, 2020
Sole Proprietor
Yes

Practice Information

Address
9112 ROLLING GREEN AVE
OKLAHOMA CITY, OK, 731322055
Browse OK providers · Browse ZIP 73132
Phone
4052496436
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in OKLAHOMA CITY, OK

Name Credential NPI
MRS. HSIAO-WEN EUNICE MOON LPC 1497756480
MARY L BOBO LCSW 1043204399
JODELL LYNN MOON M.ED., LPC, LMHC 1477520716
MRS. SHARON B. VARNUM LCSW 1609833300
MR. DAVID KECK WILLIAMS MA,LPC 1629010897
MICHAEL CHAPMAN LPC 1205879848
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.