Individual
SAMANTHA EADS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 858-1700
Mailing address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 858-1700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10587
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/06/2021
Last updated
09/03/2024
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