Organization
FERN & WILLOW COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA RACHELLE PEEVSASSER LCSW (OWNER/SOLO PRACTITIONER)
(918) 521-1594
Entity
Organization
Contact information
Practice address
202 S CEDAR ST STE B, OWASSO, OK 74055-3451
(918) 521-1594
Mailing address
PO BOX 752, OWASSO, OK 74055-0752
(918) 521-1594
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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