Individual
MELISSA K SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC, CM
Contact information
Practice address
122 E EUFAULA ST, NORMAN, OK 73069-6017
(405) 447-4499
(405) 447-4419
Mailing address
1022 CLINGMANS DOME RD, NORMAN, OK 73069-6659
(405) 399-3499
(270) 837-9721
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4747
OK
101YM0800X
Mental Health Counselor
Primary
4747
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200409610B
—
OK
Enumeration date
11/09/2007
Last updated
01/06/2014
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