Organization
REVERENCE COUNSELING & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA CANNON LCSW (OWNER)
(918) 619-5168
Entity
Organization
Contact information
Practice address
7136 S YALE AVE STE 300, TULSA, OK 74136-6381
(918) 619-5168
Mailing address
7136 S YALE AVE STE 300, TULSA, OK 74136-6381
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
04/18/2020
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