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Kenneth Samuel Davis
Counselor in Catoosa, Oklahoma
NPI 1437857273

Kenneth Samuel Davis is a Counselor based in Catoosa, OK. Kenneth Samuel Davis practices in Catoosa, OK. The NPI Number for Kenneth Samuel Davis is 1437857273 and holds a License No. (Oklahoma).

The current practice location address for Kenneth Samuel Davis is 19320 E Admiral Pl Ste B, Catoosa, OK and can be reached out via phone at 918-340-5503 and via fax at 918-340-5505.

Location: 19320 E Admiral Pl Ste B, Catoosa, OK, 74015-3240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437857273
Provider Name
Kenneth Samuel Davis
Credential
Provider Entity Type
Individual
Gender
Male
Address
19320 E Admiral Pl Ste B, Catoosa, OK, 74015-3240
Phone Number
918-340-5503
Fax Number
918-340-5505
Provider Enumeration Date
02/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19320 E Admiral Pl Ste B
City
Catoosa
State
Oklahoma
Zip
74015-3240
Phone Number
918-340-5503
Fax Number
918-340-5505
person
Provider Business Mailing Address Details
Address
19320 E Admiral Pl Ste B
City
Catoosa
State
Oklahoma
Zip
74015-3240
Phone Number
918-340-5503
Fax Number
918-340-5505
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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