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NPI 1255099560

NPI 1255099560 : STEPS TO HEALING AND RECOVERY COUNSELING, LLC : LAWTON, OK

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General NPI Number Information
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    NPI Number           |    1255099560
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    Entity Type          |    Organization 
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    Legal Business Name  |    STEPS TO HEALING AND RECOVERY COUNSELING, LLC 
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Dates
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    Enumeration Date     |    12/03/2021
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    Last Update Date     |    05/09/2024
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Provider Practice Location Address
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    Address Line         |    503 NW SHERIDAN RD STE B 
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    City                 |    LAWTON
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    State                |    OK
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    Zip                  |    73505-6521
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    Country              |    US
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    Telephone            |    580-956-4827
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    Fax                  |    205-941-8036
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Provider Business Mailing Address
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    Address Line         |    503 NW SHERIDAN RD STE B 
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    City                 |    LAWTON
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    State                |    OK
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    Zip                  |    73505-6521
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    Country              |    US
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    Telephone            |    580-956-4827
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    Fax                  |    205-941-8036
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Authorized Official
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    Title or Position    |    THERAPIST/ OWNER
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    Name                 |     JENNIFER  ROSADO 
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    Credential           |    LPC
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    Telephone            |    580-956-4827
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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       |    
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    License Number State |    
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