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General NPI Number Information
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NPI Number | 1003331075
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Entity Type | Organization
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Legal Business Name | ODEN COUNSELING, PLLC
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Dates
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Enumeration Date | 08/10/2017
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Last Update Date | 08/10/2017
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Provider Practice Location Address
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Address Line | 3033 NW 63RD ST STE 151E
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-3634
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Country | US
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Telephone | 405-412-1005
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Fax |
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Provider Business Mailing Address
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Address Line | 6600 NW 116TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73162-2937
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Country | US
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Telephone | 405-412-1005
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | JAMILA NICOLE ODEN
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Credential | M.ED., LPC
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Telephone | 405-412-1005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5285
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License Number State | OK
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