Individual
MELADIE JO BAXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
804 W CHOCTAW AVE, CHICKASHA, OK 73018
(405) 222-0622
Mailing address
219 TABOR DR, GASTON, SC 29053-8912
(405) 615-7485
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/09/2011
Last updated
05/13/2018
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