Organization
SEASONS COUNSELING AND CONSULTATION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA L PRYOR MSW, LCSW (CEO)
(918) 617-2845
Entity
Organization
Contact information
Practice address
1590 HWY 9 EAST, EUFAULA, OK 74432-1590
(918) 689-7099
Mailing address
1590 HWY 9 EAST, EUFAULA, OK 74432-1590
(918) 689-7099
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2809
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376708271
INDIVIDUAL
OK
Enumeration date
09/21/2010
Last updated
05/23/2013
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