Individual
MELISSA NEWBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
301 N 6TH ST, MUSKOGEE, OK 74401-6008
(918) 682-2491
(918) 682-1480
Mailing address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-2491
(918) 682-1480
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103TR0400X
Rehabilitation Psychologist
—
—
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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