Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madison M Medlock

Individual provider Counselor · NPI 1053976928

Madison M Medlock is a Counselor in Wagoner, Oklahoma. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

109 S Harrill Ave
Wagoner, OK 74467-5317
Phone: (918) 485-0242
Fax: (918) 485-0242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1053976928
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 7, 2019
Last updated in NPPESMay 7, 2019
Mailing address109 S Harrill Ave, Wagoner, OK 74467-5317

Other providers in Wagoner