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General NPI Number Information
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NPI Number | 1063818961
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Entity Type | Organization
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Legal Business Name | JENA D MCNAMAR, MAMFT, LPC, PLLC
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Dates
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Enumeration Date | 11/05/2014
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Last Update Date | 11/05/2014
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Provider Practice Location Address
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Address Line | 2216 SHADOWLAKE DR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73159-7440
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Country | US
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Telephone | 405-641-7905
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Fax | 405-735-6760
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Provider Business Mailing Address
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Address Line | 2216 SHADOWLAKE DR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73159-7440
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Country | US
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Telephone | 405-641-7905
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Fax | 405-735-6760
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MRS. JENA D MCNAMAR
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Credential | MAMFT, LPC, PLLC
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Telephone | 405-641-7905
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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 | 5022
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License Number State | NY
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