Individual provider · Type 1 NPI

Kevin Ernest Mellencamp, M.S. LPC

Counselor · Lawton, OK

NPI number 1033423389 Active

Practice location

1320 NW Homestead Dr Ste G
Lawton, OK 73505-5243

Call (580) 355-8883 Map

Fax (580) 355-8885

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X4005 (OK)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1033423389

Kevin Ernest Mellencamp, M.S. LPC's National Provider Identifier is 1033423389, issued on Jul 28, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lawton, OK. The record was last updated on Jul 28, 2010.