| J Melton Llc | |
|
110 W Main St Holdenville OK 74848-3230 | |
| (405) 221-2610 | |
| Not Available |
| Full Name | J Melton Llc |
|---|---|
| Speciality | Counselor |
| Location | 110 W Main St, Holdenville, Oklahoma |
| Authorized Official Name and Position | June Melton (CEO) |
| Authorized Official Contact | 4052212610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J Melton Llc Po Box 186 Holdenville OK 74848-0186 Ph: (405) 221-2610 | J Melton Llc 110 W Main St Holdenville OK 74848-3230 Ph: (405) 221-2610 |
| NPI Number | 1477868594 |
|---|---|
| Provider Enumeration Date | 08/12/2010 |
| Last Update Date | 09/06/2016 |
| Medicare PECOS PAC ID | 9335592666 |
|---|---|
| Medicare Enrollment ID | O20240201004614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477868594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2340 (Oklahoma) | Primary |
| Provider Name | June Marie Melton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043356983 PECOS PAC ID: 0244683571 Enrollment ID: I20240202001173 |
Oklahoma Families First Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 E Main St, Holdenville, OK 74848 Phone: 405-360-2133 Fax: 405-360-4821 | |
Oklahoma Families First Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 E Main St, Holdenville, OK 74848 Phone: 405-360-2133 Fax: 405-360-2252 | |
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