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

Mr. Kevin Ernest Mellencamp, MSLPC

Individual provider Counselor · NPI 1033423389

Mr. Kevin Ernest Mellencamp, MSLPC is a Counselor in Lawton, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2010.

Licensed in
OK
In the registry since
2010
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Practice location Address checks out

1320 NW Homestead Dr Ste G
Lawton, OK 73505-5243
Phone: (580) 355-8883
Fax: (580) 355-8885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 4005 (OK)

Record details

NPI number1033423389
Entity typeIndividual (Type 1)
GenderMale
Credentials MSLPC
Sole proprietorNo
NPI enumeratedJuly 28, 2010
Last updated in NPPESJuly 28, 2010

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