Individual provider · Type 1 NPI

Samantha Ronae Bumguardner, YOUTH SERVICE

Counselor · Sallisaw, OK

NPI number 1013738244 Active

Practice location

205 J T Stites Blvd
Sallisaw, OK 74955-9323

Call (918) 775-7787 Map

Fax (918) 775-0328

Mailing address

205 S J T Stites St
Sallisaw, OK 74955-9301

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1013738244

Samantha Ronae Bumguardner, YOUTH SERVICE's National Provider Identifier is 1013738244, issued on Oct 21, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Sallisaw, OK. The record was last updated on Oct 21, 2024.