Individual provider · Type 1 NPI

Melissa Eidson

Professional Counselor · Ada, OK

NPI number 1811613128 Active

Practice location

314 S Broadway Ave Ste 106
Ada, OK 74820-5818

Mailing address

PO Box 662
Purcell, OK 73080-0662

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1811613128

Melissa Eidson's National Provider Identifier is 1811613128, issued on Oct 18, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ada, OK. The record was last updated on Mar 27, 2026.