Individual
AMANDA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4416 W HOUSTON ST, BROKEN ARROW, OK 74012-4645
(918) 288-0027
Mailing address
4416 W HOUSTON ST, BROKEN ARROW, OK 74012-4645
(918) 288-0027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC6768
OK
Other
Enumeration date
10/13/2015
Last updated
08/02/2024
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