Individual
MRS. MELISSA SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 BLUEGRASS CT, MOORE, OK 73160-5637
(405) 615-7555
Mailing address
400 N EASTERN AVE, MOORE, OK 73160-5833
(405) 615-7555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
OK
Other
Enumeration date
03/12/2012
Last updated
03/18/2016
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