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Mrs. Elizabeth Ann Samples
Counselor in Broken Arrow, Oklahoma
NPI 1063700813

Elizabeth Ann Samples is a Counselor based in Broken Arrow, OK. Elizabeth Ann Samples practices in Broken Arrow, OK. The NPI Number for Elizabeth Ann Samples is 1063700813 and holds a License No. (Oklahoma).

The current practice location address for Elizabeth Ann Samples is 101 W Boston St, Broken Arrow, OK and can be reached out via phone at 918-402-3897.

Location: 101 W Boston St, Broken Arrow, OK, 74012-7014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063700813
Provider Name
Elizabeth Ann Samples
Credential
Provider Entity Type
Individual
Gender
Female
Address
101 W Boston St, Broken Arrow, OK, 74012-7014
Phone Number
918-402-3897
Fax Number
Provider Enumeration Date
07/14/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 W Boston St
City
Broken Arrow
State
Oklahoma
Zip
74012-7014
Phone Number
918-402-3897
Fax Number
person
Provider Business Mailing Address Details
Address
101 W Boston St
City
Broken Arrow
State
Oklahoma
Zip
74012-7014
Phone Number
918-402-3897
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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