Individual provider · Type 1 NPI

Madison M. Medlock

Counselor · Wagoner, OK

NPI number 1053976928 Active

Practice location

109 S Harrill Ave
Wagoner, OK 74467-5317

Call (918) 485-0242 Map

Fax (918) 485-0242

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 1053976928

Madison M. Medlock's National Provider Identifier is 1053976928, issued on May 7, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Wagoner, OK. The record was last updated on May 7, 2019.