IndividualActive
Jason Wilson, M.ED, LPC
NPI 1316198971 · Mental Health Counselor · Frederick, OK
Provider details
- NPI number
- 1316198971
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- M.ED, LPC
- Sex
- Male
- Sole proprietor
- No
- License
- 3985 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
201 N 14th St
Frederick, OK 73542-5829
Phone: (405) 833-0680
Approximate (ZIP-level) locationGet directions
Mailing address
201 N 14th St
Frederick, OK 73542-5829
Registry dates
- Enumerated
- 2008-10-01
- Last updated
- 2009-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.