Individual
MRS. MELODIE RAE HEUPEL CARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1500 N 6TH STREET, PONCA CITY, OK 74601
(580) 762-7561
(580) 762-2576
Mailing address
1806 E PRICETON AVE, PONCA CITY, OK 74604
(580) 762-7562
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3361
OK
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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