Wilson, Shane Ray

Wilson, Shane Ray is an individual health care provider with primary practice located at 3750 W Main St Ste Aa , Norman OK 73072-4645. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Wilson, Shane Ray can be contacted via phone (405) 474-9374.

Contact Information

Primary practice address
3750 W Main St Ste Aa Norman OK 73072-4645
Phone: (405) 474-9374
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 135 Oklahoma
Behavioral Health & Social Service Providers / Professional 101YP2500X 2179 Oklahoma

Profile Details

NPI number 1063742138
LBN Legal business name Wilson, Shane Ray
Credentials LPC,LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2010
Last updated Dec 21st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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