DALLAS WILSON
NPI 1679025050
Counselor - Mental Health in Atoka, OK
Active since November 01, 2016
About Dallas Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DALLAS WILSON (NPI 1679025050) is an individual mental health provider in Atoka, Oklahoma and active in the NPI registry since November 2016.
NPPES Registry Identity
NPI1679025050
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDALLAS WILSON
Location Address217 E COURT STAtoka, OK 74525-2045
Mailing Address217 E Court StAtoka, OK 74525-2045
Phone(580) 889-6459
Sole ProprietorNo
Enumeration DateNovember 1, 2016
✔ NPI 1679025050 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
217 E COURT ST, Atoka, OK 74525
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679025050, enumerated as an "individual" on November 01, 2016.
The provider is located at 217 E COURT ST ATOKA, OK 74525 and the phone number is (580) 889-6459.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
