Organization
SCISSORTAIL COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA MASQUAT LADC/MH (OWNER)
(405) 625-1665
Entity
Organization
Contact information
Practice address
1800 E MEMORIAL RD STE 102, OKLAHOMA CITY, OK 73131-1827
(405) 625-1665
Mailing address
3317 MEADOW LN, EDMOND, OK 73013-5420
(405) 625-1665
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
08/04/2020
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