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Ms. Samantha Jo Jerrell
Mental Health Counselor in Mounds, Oklahoma
NPI 1427391143

Samantha Jo Jerrell is a Mental Health Counselor based in Mounds, OK and is specialized in Mental Health. Samantha Jo Jerrell practices in Mounds, OK. The NPI Number for Samantha Jo Jerrell is 1427391143 and holds a License No. (Oklahoma).

The current practice location address for Samantha Jo Jerrell is 7831 W 182Nd St South, Mounds, OK and can be reached out via phone at 918-693-4638.

Location: 7831 W 182Nd St South, Mounds, OK, 74047-0832
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427391143
Provider Name
Samantha Jo Jerrell
Credential
Provider Entity Type
Individual
Gender
Female
Address
7831 W 182Nd St South, Mounds, OK, 74047-0832
Phone Number
918-693-4638
Fax Number
Provider Enumeration Date
04/01/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7831 W 182Nd St South
City
Mounds
State
Oklahoma
Zip
74047
Phone Number
918-693-4638
Fax Number
person
Provider Business Mailing Address Details
Address
7831 W 182Nd St South
City
Mounds
State
Oklahoma
Zip
74047
Phone Number
918-693-4638
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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