MR. Melvin Walter David Proctor, PCC-S

NPI #1255637203 in Tiffin, Ohio

Provider Information

NPI Number: 1255637203
Entity Type: Individual
Name: MR. Melvin Walter David Proctor, PCC-S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: PCC-S
Enumeration Date: Feb 8, 2011
Last Updated: Feb 8, 2011

Practice Location

Address: 2495 W MARKET ST STE C
City: Tiffin
State: Ohio
ZIP Code: 44883-8450
Phone: (141) 944-3120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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