MELISSA ANN MCDARIS BA NPI 1700915337

NPI Information

  • NPI: 1700915337
  • Provider Name: MELISSA ANN MCDARIS, BA
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 706 SW 3RD ST
    WAGONER, OK
    ZIP 74467
  • Phone: (918) 485-6206

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NPI Details

Melissa Ann Mcdaris, BA is an addiction (substance use disorder) counselor in Wagoner, OK. Melissa Ann Mcdaris, BA NPI is 1700915337. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

706 SW 3RD ST
WAGONER, OK
ZIP 74467-515
Phone: (918) 485-6206
Fax: (918) 485-1709

The enumeration date for this NPI number is 3/2/2007 and was last updated on 3/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional5299OKLAHOMANo
2101YA0400XCounselorAddiction (Substance Use Disorder)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200366010BMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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