Individual provider · Type 1 NPI

Melissa Jean Wall, BHRS II

Mental Health Counselor · Ada, OK

NPI number 1477755320 Active

Practice location

111 E 12th St
Ada, OK 74820-6501

Mailing address

15164 County Road 3530
Ada, OK 74820-0801

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1477755320

Melissa Jean Wall, BHRS II's National Provider Identifier is 1477755320, issued on Jun 4, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ada, OK. The record was last updated on Jul 8, 2007.