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Melonie Jackson
Mental Health Counselor in Wilburton, Oklahoma
NPI 1700277704

Melonie Jackson is a Mental Health Counselor based in Wilburton, OK and is specialized in Mental Health. Melonie Jackson practices in Wilburton, OK. The NPI Number for Melonie Jackson is 1700277704 and holds a License No. (Oklahoma).

The current practice location address for Melonie Jackson is 700 Nw 1018Th Ave, Wilburton, OK and can be reached out via phone at 918-448-0937.

Location: 700 Nw 1018Th Ave, Wilburton, OK, 74578-6605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700277704
Provider Name
Melonie Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
700 Nw 1018Th Ave, Wilburton, OK, 74578-6605
Phone Number
918-448-0937
Fax Number
Provider Enumeration Date
02/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
700 Nw 1018Th Ave
City
Wilburton
State
Oklahoma
Zip
74578-6605
Phone Number
918-448-0937
Fax Number
person
Provider Business Mailing Address Details
Address
700 Nw 1018Th Ave
City
Wilburton
State
Oklahoma
Zip
74578-6605
Phone Number
918-448-0937
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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