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Melanie Gayle Vidricksen
Mental Health Counselor in Muskogee, Oklahoma
NPI 1184824120

Melanie Gayle Vidricksen is a Mental Health Counselor based in Muskogee, OK and is specialized in Mental Health. Melanie Gayle Vidricksen practices in Muskogee, OK. The NPI Number for Melanie Gayle Vidricksen is 1184824120 and holds a License No. (Oklahoma).

The current practice location address for Melanie Gayle Vidricksen is 619 N Main St, Muskogee, OK and can be reached out via phone at 918-682-2491.

Location: 619 N Main St, Muskogee, OK, 74401-4431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184824120
Provider Name
Melanie Gayle Vidricksen
Credential
Provider Entity Type
Individual
Gender
Female
Address
619 N Main St, Muskogee, OK, 74401-4431
Phone Number
918-682-2491
Fax Number
Provider Enumeration Date
07/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
619 N Main St
City
Muskogee
State
Oklahoma
Zip
74401-4431
Phone Number
918-682-2491
Fax Number
person
Provider Business Mailing Address Details
Address
619 N Main St
City
Muskogee
State
Oklahoma
Zip
74401-4431
Phone Number
918-682-2491
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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