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General NPI Number Information
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NPI Number | 1114220803
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Entity Type | Individual
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Provider Name | KERI L JENKINS MS, LPC
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Gender | Female
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Dates
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Enumeration Date | 12/17/2010
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Last Update Date | 12/24/2024
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Provider Practice Location Address
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Address Line | 755 W COVELL RD STE 100
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City | EDMOND
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State | OK
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Zip | 73003-2381
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Country | US
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Telephone | 405-378-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 755 W COVELL RD STE 100
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City | EDMOND
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State | OK
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Zip | 73003-2381
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Country | US
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Telephone | 405-378-2727
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 081240263
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License Number State | OK
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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 | LPC06697
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC06697
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License Number State | OK
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