Individual
MELISSA ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHRS/CMA
Contact information
Practice address
6128 E 38TH ST STE 305, TULSA, OK 74135-5814
(918) 599-7404
Mailing address
6128 E 38TH ST STE 305, TULSA, OK 74135-5814
(918) 599-7404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ODMHSAS CASE MGR
OK
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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