Individual
MR. BILLY SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1140 N HUDSON AVE, OKLAHOMA CITY, OK 73103-3918
(405) 272-0660
Mailing address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
(405) 272-0660
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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