Individual
MELISSA GREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 VETERANS STREET, TALIHINA, OK 74571
(918) 567-3293
Mailing address
PO BOX 524, TALIHINA, OK 74571
(191) 850-4637
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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