Shane Ray Wilson, LPC,LADC is a professional counselor in Norman, OK. Shane Ray Wilson, LPC,LADC NPI is 1063742138. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3750 W MAIN ST STE AA
NORMAN, OK
ZIP 73072-645
Phone: (405) 474-9374
The NPI 1063742138 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 1/12/2010 and was last updated on 12/21/2023.