MELANA IVIE

Counselor - Professional

Active Individual
NPI: 1285154377

Practice Address

4416 W HOUSTON ST
Broken Arrow, OK 74012

Phone: (918) 288-0027

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X No -
Counselor - Professional 101YP2500X Yes 10251 (OK)
Counselor - Mental Health 101YM0800X No 10251 (OK)

Frequently Asked Questions

NPI 1285154377 is the National Provider Identifier for MELANA IVIE, a Counselor - Professional provider located in Broken Arrow, OK. This NPI was enumerated on June 21, 2017.
MELANA IVIE practices at 4416 W HOUSTON ST, Broken Arrow, OK 74012.

Quick Facts

NPI
1285154377
Type
Individual
Enumerated
Jun 21, 2017
Last Updated
Aug 23, 2024

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