Individual provider · Type 1 NPI

Nicole Medak

Counselor · Sallisaw, OK

NPI number 1053299982 Active

Practice location

205 J T Stites Blvd
Sallisaw, OK 74955-9323

Call (918) 775-7787 Map

Fax (918) 775-0328

Mailing address

19973 S 590 Rd
Welling, OK 74471-2411

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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 1053299982

Nicole Medak's National Provider Identifier is 1053299982, issued on Aug 27, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Sallisaw, OK. The record was last updated on Aug 27, 2025.