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General NPI Number Information
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NPI Number | 1013830041
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Entity Type | Individual
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Provider Name | AUGUSTINE OKOLI LPC, LCPC, CRAADC
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Gender | Male
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 300 W 19TH TER
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City | KANSAS CITY
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State | MO
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Zip | 64108-2026
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Country | US
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Telephone | 816-404-5709
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Fax | 816-404-6272
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Provider Business Mailing Address
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Address Line | 12124 E 54TH ST
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City | KANSAS CITY
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State | MO
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Zip | 64133-3009
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Country | US
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Telephone | 816-404-5709
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Fax | 816-404-6272
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 2310
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 04381
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2001002659
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License Number State | MO
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