Individual
SAMANTHA LYNN CRAIGHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1108 N WHEELER AVE, SALLISAW, OK 74955-2227
(918) 775-5513
Mailing address
1108 N WHEELER AVE, SALLISAW, OK 74955-2227
(918) 775-5513
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
07/10/2023
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