person
Samantha Ezell
Mental Health Counselor in Ardmore, Oklahoma
NPI 1487199527

Samantha Ezell is a Mental Health Counselor based in Kingston, OK and is specialized in Mental Health. Samantha Ezell practices in Ardmore, OK. The NPI Number for Samantha Ezell is 1487199527 and holds a License No. (Oklahoma).

The current practice location address for Samantha Ezell is 115 W Broadway St, Ardmore, OK and can be reached out via phone at 580-226-5209 and via fax at 580-226-5219.

Location: 115 W Broadway St, Ardmore, OK, 73439-1710
person
Provider Profile Details
NPI Number
1487199527
Provider Name
Samantha Ezell
Credential
Provider Entity Type
Individual
Gender
Female
Address
115 W Broadway St, Ardmore, OK, 73439-1710
Phone Number
580-226-5209
Fax Number
580-226-5219
Provider Enumeration Date
12/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
115 W Broadway St
City
State
Zip
73401-6205
Phone Number
580-226-5209
Fax Number
580-226-5219
person
Provider Business Mailing Address Details
Address
115 W Broadway St
City
State
Zip
73401-6205
Phone Number
580-226-5209
Fax Number
580-226-5219
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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