Individual provider · Type 1 NPI

Jeremiah D. Melton, M.A.

Professional Counselor · Springfield, MO

NPI number 1629272992 Active

Practice location

1722 S Glenstone Ave Ste H
Springfield, MO 65804-1513

Fax (417) 887-2051

Mailing address

2639 N Kellett Ave
Springfield, MO 65803-3441

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2007015986 (MO)

Professional Counselor: Definition to come...

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About NPI 1629272992

Jeremiah D. Melton, M.A.'s National Provider Identifier is 1629272992, issued on Jun 12, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, MO. The record was last updated on Jul 8, 2007.