Individual provider · Type 1 NPI

Melissa Provence

Mental Health Counselor · Idabel, OK

NPI number 1861075830 Active

Practice location

2000 E Lincoln Rd
Idabel, OK 74745-7353

Call (580) 286-6639 Map

Mailing address

PO Box 579
Mcalester, OK 74502-0579

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1861075830

Melissa Provence's National Provider Identifier is 1861075830, issued on Apr 28, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Idabel, OK. The record was last updated on Apr 28, 2021.