Individual
MELTON LEE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
1612 S CINCINNATI AVE, TULSA, OK 74119-4418
(918) 381-3859
(918) 289-0248
Mailing address
3609 E 56TH ST, TULSA, OK 74135-3820
(918) 381-3859
(918) 289-0248
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1799
OK
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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