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General NPI Number Information
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NPI Number | 1073550067
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Entity Type | Individual
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Provider Name | NELLIE M. MEASHINTUBBY LPC,LADC
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Gender | Female
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 400 E WYANDOTTE AVE
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City | MCALESTER
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State | OK
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Zip | 74501-5464
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Country | US
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Telephone | 918-420-5238
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Fax | 918-420-5717
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Provider Business Mailing Address
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Address Line | PO BOX 753
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City | MCALESTER
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State | OK
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Zip | 74502-0753
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Country | US
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Telephone | 918-420-5238
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Fax | 918-420-5717
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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 | 147
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2313
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License Number State | OK
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