Individual
MR. JEREMIAH D MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1722 S GLENSTONE AVE STE H, SPRINGFIELD, MO 65804-1513
(417) 881-9518
(417) 887-2051
Mailing address
2639 N KELLETT AVE, SPRINGFIELD, MO 65803-3441
(417) 873-3480
(417) 873-3480
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2007015986
MO
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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