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Mr. Kevin Ernest Mellencamp, MSLPC
Counselor in Lawton, Oklahoma
NPI 1033423389

Kevin Ernest Mellencamp is a Counselor based in Lawton, OK. Kevin Ernest Mellencamp practices in Lawton, OK and has the professional credentials of MSLPC. The NPI Number for Kevin Ernest Mellencamp is 1033423389 and holds a License No. 4005 (Oklahoma).

The current practice location address for Kevin Ernest Mellencamp is 1320 Nw Homestead Dr Ste G, Lawton, OK and can be reached out via phone at 580-355-8883 and via fax at 580-355-8885.

Location: 1320 Nw Homestead Dr Ste G, Lawton, OK, 73505-5243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033423389
Provider Name
Kevin Ernest Mellencamp
Credential
MSLPC
Provider Entity Type
Individual
Gender
Male
Address
1320 Nw Homestead Dr Ste G, Lawton, OK, 73505-5243
Phone Number
580-355-8883
Fax Number
580-355-8885
Provider Enumeration Date
07/28/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1320 Nw Homestead Dr Ste G
City
Lawton
State
Oklahoma
Zip
73505-5243
Phone Number
580-355-8883
Fax Number
580-355-8885
person
Provider Business Mailing Address Details
Address
1320 Nw Homestead Dr Ste G
City
Lawton
State
Oklahoma
Zip
73505-5243
Phone Number
580-355-8883
Fax Number
580-355-8885
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
4005 (Oklahoma)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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