Individual provider · Type 1 NPI
Melissa Ann McDaris, BA
Addiction (Substance Use Disorder) Counselor · Wagoner, OK
NPI number
1700915337
Active
Practice location
706 SW 3rd St
Wagoner, OK 74467-5515
Fax (918) 485-1709
Mailing address
703 S.w. 3rd St.
Wagoner, OK 74467
Other practice locations
- 6655 S Yale Ave, Tulsa, OK 74136-3326 · (918) 491-3700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 5299 (OK) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1700915337
Melissa Ann McDaris, BA's National Provider Identifier is 1700915337, issued on Mar 2, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wagoner, OK. The record was last updated on Mar 23, 2022.