SAMANTHA MASQUAT

OKLAHOMA CITY, OK
NPI1952838971
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence:   1334)
Enumeration Date2017-05-22
Last Update Date2020-08-04
Business Address
SAMANTHA MASQUAT LADC/MH
1800 E MEMORIAL RD STE 102
OKLAHOMA CITY, OK 73131-1827
Phone number: 405-625-1665
Mailing Address
SAMANTHA MASQUAT LADC/MH
3317 MEADOW LN
EDMOND, OK 73013-5420
Phone number: