Individual
KAMILAH SCROGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
68512 S 310 RD, WAGONER, OK 74467-6276
(661) 972-8815
Mailing address
68512 S 310 RD, WAGONER, OK 74467-6276
(661) 972-8815
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KF14188815
—
OK
Enumeration date
03/08/2019
Last updated
08/14/2025
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