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General NPI Number Information
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NPI Number | 1265590616
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Entity Type | Organization
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Legal Business Name | MULTI COUNTY COUNSELING, INC.
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 1719 SW 11TH ST
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City | LAWTON
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State | OK
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Zip | 73501-7305
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Country | US
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Telephone | 580-581-1818
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Fax | 580-581-1819
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Provider Business Mailing Address
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Address Line | 112 W MAIN ST
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City | PURCELL
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State | OK
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Zip | 73080-4220
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Country | US
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Telephone | 405-527-1785
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Fax | 405-527-1084
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Authorized Official
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Title or Position | OWNER
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Name | GREGG JOHNSON
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Credential | MPH
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Telephone | 405-527-1785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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