Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shane Ray Wilson, LPC, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1063742138

Shane Ray Wilson, LPC, LADC is an Addiction (Substance Use Disorder) Counselor in Norman, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2010.

Licensed in
OK
In the registry since
2010
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

3750 W Main St Ste AA
Norman, OK 73072-4645
Phone: (405) 474-9374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2179 (OK)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 135 (OK)

Record details

NPI number1063742138
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , LADC
Sole proprietorNo
NPI enumeratedJanuary 12, 2010
Last updated in NPPESDecember 21, 2023
Certification dateDecember 21, 2023

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