National Provider Identifier
Jessica A Wilson, MA/LADC-MH
Jessica A Wilson, MA/LADC-MH is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Oklahoma City, OK and a listed phone number of (405) 265-9047.
Source: public NPPES record, last updated August 16, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1952676983
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- March 08, 2012
- Last Updated
- August 16, 2022
Practice Location
- 3000 United Founders Blvd Ste 239
- Oklahoma City, OK 73112-4294
Phone: (405) 265-9047
Mailing Address
- 12444 Nw 10Th St Ste 202
- #157
- Yukon, OK 73099-5845
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Mental Health Counselor (101YM0800X)
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Biography
Jessica Wilson, MA, LADC-MH, is an Oklahoma City behavioral health counselor whose public professional record identifies both mental health and addiction counseling credentials. Her LADC-MH credential reflects Oklahoma licensure in alcohol and drug counseling with a mental health designation, giving her profile a focused behavioral health background.
Full Record
- NPI
- 1952676983
- Entity Type
- Individual
- Last Name
- Wilson
- First Name
- Jessica
- Middle Name
- A
- Name Prefix
- Mrs.
- Credential
- MA/LADC-MH
- Provider Other Last Name
- Crise
- Provider Other First Name
- Jessica
- Provider Other Middle Name
- A
- Provider Other Credential Text
- MA/LADC-MH CANDIDATE
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 12444 Nw 10Th St Ste 202
- Mailing Address Line 2
- #157
- Mailing City
- Yukon
- Mailing State
- OK
- Mailing ZIP Code
- 73099-5845
- Mailing Country
- US
- Mailing Phone
- (405) 265-9047
- Mailing Fax
- (405) 265-9049
- Practice Street Address
- 3000 United Founders Blvd Ste 239
- Practice City
- Oklahoma City
- Practice State
- OK
- Practice ZIP Code
- 73112-4294
- Practice Country
- US
- Practice Phone
- (405) 265-9047
- Practice Fax
- (405) 265-9049
- Enumeration Date
- March 08, 2012
- Last Updated
- August 16, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 16, 2022
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X), Mental Health Counselor (101YM0800X)
- Other Identifiers
- 1321 (OK, Ladc License)