Provider Demographics
NPI:1437268521
Name:KAMAS, SANDRA JEAN (LPC, LADC/MH)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:JEAN
Last Name:KAMAS
Suffix:
Gender:F
Credentials:LPC, LADC/MH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:585 SPUR TRL
Mailing Address - Street 2:
Mailing Address - City:FREEDOM
Mailing Address - State:OK
Mailing Address - Zip Code:73842-4200
Mailing Address - Country:US
Mailing Address - Phone:580-430-1032
Mailing Address - Fax:
Practice Address - Street 1:585 SPUR TRL
Practice Address - Street 2:
Practice Address - City:FREEDOM
Practice Address - State:OK
Practice Address - Zip Code:73842-4200
Practice Address - Country:US
Practice Address - Phone:580-430-1032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1252561204101YA0400X
OK0130101YM0800X
OK2368101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health