Individual provider · Type 1 NPI

Melonie Jackson

Mental Health Counselor · Wilburton, OK

NPI number 1700277704 Active

Practice location

700 NW 1018th Ave
Wilburton, OK 74578-6605

Call (918) 448-0937 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1700277704

Melonie Jackson's National Provider Identifier is 1700277704, issued on Feb 11, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wilburton, OK. The record was last updated on Feb 11, 2015.