Melissa Provence

NPI #1861075830 in Idabel, Oklahoma

Provider Information

NPI Number
1861075830
Entity Type
Individual
Name
Melissa Provence
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Apr 28, 2021
Last Updated
Apr 28, 2021

Practice Location

Address
2000 E LINCOLN RD
City
Idabel
ZIP Code
74745-7353
Phone
(580) 286-6639

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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