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Individual

HOLLY RENEE' MELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., LPC

Contact information

Practice address
6051 N BROOKLINE AVE STE 112, OKLAHOMA CITY, OK 73112-4286
(405) 810-0054
Mailing address
1036 NW 2ND ST, MOORE, OK 73160-2158
(405) 881-3637

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10660
OK

Other

Enumeration date
01/21/2020
Last updated
03/29/2023
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