Provider Demographics
NPI:1841980026
Name:CAMERON, MELISSA (LPC-CANDIDATE)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:CAMERON
Suffix:
Gender:F
Credentials:LPC-CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1517 S HARVARD AVE # A
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74112-5821
Mailing Address - Country:US
Mailing Address - Phone:918-884-7078
Mailing Address - Fax:
Practice Address - Street 1:1517 S HARVARD AVE # A
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74112-5821
Practice Address - Country:US
Practice Address - Phone:918-884-7078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-10
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK11467101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional