Individual
MELISSA PITTS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2021 MAHANEY AVE STE 4, TAHLEQUAH, OK 74464-5795
(918) 901-9300
Mailing address
2021 MAHANEY AVE STE 4, TAHLEQUAH, OK 74464-5795
(918) 901-9300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4795
OK
Other
Enumeration date
01/19/2015
Last updated
02/01/2024
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