Individual
HANA MELVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 BASS DR, ENID, OK 73703-8554
(919) 609-3905
Mailing address
1234 BASS DR, ENID, OK 73703-8554
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/15/2015
Last updated
08/12/2016
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