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Melissa Gragg, MEDLPC
Mental Health Counselor in Bethany, Oklahoma
NPI 1528309994

Melissa Gragg is a Mental Health Counselor based in Bethany, OK and is specialized in Mental Health. Melissa Gragg practices in Bethany, OK and has the professional credentials of MEDLPC. The NPI Number for Melissa Gragg is 1528309994 and holds a License No. 6853 (Oklahoma).

The current practice location address for Melissa Gragg is 7908 Nw 23Rd St, Bethany, OK and can be reached out via phone at 405-487-8623.

Location: 7908 Nw 23Rd St, Bethany, OK, 73008-4950
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528309994
Provider Name
Melissa Gragg
Credential
MEDLPC
Provider Entity Type
Individual
Gender
Female
Address
7908 Nw 23Rd St, Bethany, OK, 73008-4950
Phone Number
405-487-8623
Fax Number
Provider Enumeration Date
03/11/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
225C00000X 01 OK 22 RESPIRATORY, DEVELOPMENTAL, REHABILITATIVE ETC...
institution
Provider Business Practice Location Address Details
Address
7908 Nw 23Rd St
City
Bethany
State
Oklahoma
Zip
73008
Phone Number
405-487-8623
Fax Number
person
Provider Business Mailing Address Details
Address
7908 Nw 23Rd St
City
Bethany
State
Oklahoma
Zip
73008
Phone Number
405-487-8623
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
6853 (Oklahoma)
Definition
Definition to come...
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