Mcdaris, Melissa Ann

Mcdaris, Melissa Ann is an individual health care provider with primary practice located at 706 Sw 3Rd St , Wagoner OK 74467-5515. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mcdaris, Melissa Ann can be contacted via phone (918) 485-6206.

Contact Information

Primary practice address
706 Sw 3Rd St Wagoner OK 74467-5515
Phone: (918) 485-6206
Fax: (918) 485-1709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5299 Oklahoma
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1700915337
LBN Legal business name Mcdaris, Melissa Ann
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Mar 23rd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700915337 NPPES
Oklahoma MEDICAID 200366010B

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