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Ms. Melissa Jean Wall, BHRSII
Mental Health Counselor in Ada, Oklahoma
NPI 1477755320

Melissa Jean Wall is a Mental Health Counselor based in Ada, OK and is specialized in Mental Health. Melissa Jean Wall practices in Ada, OK and has the professional credentials of BHRSII. The NPI Number for Melissa Jean Wall is 1477755320 and holds a License No. (Oklahoma).

The current practice location address for Melissa Jean Wall is 111 E 12Th St, Ada, OK and can be reached out via phone at 580-436-2690.

Location: 111 E 12Th St, Ada, OK, 74820-0801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477755320
Provider Name
Melissa Jean Wall
Credential
BHRSII
Provider Entity Type
Individual
Gender
Female
Address
111 E 12Th St, Ada, OK, 74820-0801
Phone Number
580-436-2690
Fax Number
Provider Enumeration Date
06/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 E 12Th St
City
Ada
State
Oklahoma
Zip
74820-6501
Phone Number
580-436-2690
Fax Number
person
Provider Business Mailing Address Details
Address
111 E 12Th St
City
Ada
State
Oklahoma
Zip
74820-6501
Phone Number
580-436-2690
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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