Individual
SAMAYRA TAVAKOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2776 WASHINGTON DR STE 100, NORMAN, OK 73069-1018
(580) 530-1536
Mailing address
2776 WASHINGTON DR STE 100, NORMAN, OK 73069-1018
(405) 407-0784
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11271
OK
Other
Enumeration date
02/09/2016
Last updated
06/16/2023
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