Organization
AMANDA PERCIVAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA PERCIVAL LPC (OWNER)
(405) 426-7434
Entity
Organization
Contact information
Practice address
1420 W OWEN K. GARRIOTT BLDG 1, ENID, OK 73703
(405) 426-7434
Mailing address
PO BOX 146, ENID, OK 73702-0146
(405) 426-7434
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6399
OK
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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