Individual
MELISSA ANNE KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1390 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-5270
(405) 455-5312
Mailing address
1016 W IDYLWILD DR, MIDWEST CITY, OK 73110-1327
(405) 343-4999
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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