Individual
MELISSA WALLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-C
Contact information
Practice address
355004 E 750 RD, CUSHING, OK 74023-5269
(918) 225-0750
Mailing address
355004 E 750 RD, CUSHING, OK 74023-5269
(918) 225-0750
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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