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General NPI Number Information
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NPI Number | 1285792630
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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 | 220 S WEWOKA AVE
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City | WEWOKA
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State | OK
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Zip | 74884-2640
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Country | US
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Telephone | 405-257-9030
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Fax | 405-257-9031
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Provider Business Mailing Address
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Address Line | 221 N WEWOKA AVE
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City | WEWOKA
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State | OK
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Zip | 74884-2221
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Country | US
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Telephone | 405-257-9030
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Fax | 405-257-9031
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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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