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General NPI Number Information
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NPI Number | 1184166597
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Entity Type | Organization
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Legal Business Name | COUNSELING COMPLIANCE & RESOLUTION SERVICES OF OKLAHOMA, LLC
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Dates
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Enumeration Date | 11/16/2016
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 13853 QUAIL POINTE DR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73134-1067
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Country | US
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Telephone | 405-919-7388
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Fax |
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Provider Business Mailing Address
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Address Line | 13417 N TRIPLE XXX RD
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City | LUTHER
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State | OK
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Zip | 73054-9702
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Country | US
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Telephone | 405-919-7388
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | DARCY C MCCONNELL
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Credential | LADC, LPC
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Telephone | 405-919-7388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 4633
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 896
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License Number State | OK
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