| Sycamore Tree Counseling Pllc Samantha Bugos Sole Member | |
|
207 S Czech Hall Rd Yukon OK 73099-6851 | |
| (405) 673-1270 | |
| Not Available |
| Full Name | Sycamore Tree Counseling Pllc Samantha Bugos Sole Member |
|---|---|
| Speciality | Counselor - Professional |
| Location | 207 S Czech Hall Rd, Yukon, Oklahoma |
| Authorized Official Name and Position | Samantha Bugos (OWNER) |
| Authorized Official Contact | 4055355224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sycamore Tree Counseling Pllc Samantha Bugos Sole Member 207 S Czech Hall Rd Yukon OK 73099-6851 Ph: (405) 673-1270 | Sycamore Tree Counseling Pllc Samantha Bugos Sole Member 207 S Czech Hall Rd Yukon OK 73099-6851 Ph: (405) 673-1270 |
| NPI Number | 1831851203 |
|---|---|
| Provider Enumeration Date | 10/12/2021 |
| Last Update Date | 10/13/2021 |
| Certification Date | 10/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831851203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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