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General NPI Number Information
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NPI Number | 1609720978
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Entity Type | Organization
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Legal Business Name | MCWISDOM COUNSELING LLC
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 1301 MAGNOLIA CT STE 119
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City | MOORE
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State | OK
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Zip | 73160-1420
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Country | US
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Telephone | 405-824-5553
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 N MCMILLAN AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73127-3048
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Country | US
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Telephone | 405-824-5553
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASHLEY WISDOM
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Credential | M.ED
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Telephone | 405-824-5553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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