Individual
MS. MELISSA MAXINE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214 SW 30TH ST, OKLAHOMA CITY, OK 73109-6506
(405) 272-1610
(405) 272-1630
Mailing address
214 SW 30TH ST, OKLAHOMA CITY, OK 73109-6506
(405) 272-1610
(405) 272-1630
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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