Individual
MRS. MELLANY ANN PAINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1600-1602 N D ST, MCALESTER, OK 74501
(918) 426-1614
(918) 426-1648
Mailing address
PO BOX 1710, KINGSTON, OK 73439
(918) 426-1614
(918) 426-1648
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3133
OK
Other
Enumeration date
10/18/2009
Last updated
08/29/2024
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