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General NPI Number Information
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NPI Number | 1336098235
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Entity Type | Individual
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Provider Name | JOLISA J SLATEN LPC-C
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Gender | Female
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 10802 QUAIL PLAZA DR STE 208
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-3121
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Country | US
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Telephone | 405-889-3571
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Fax | 405-497-6840
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Provider Business Mailing Address
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Address Line | 1208 NE 7TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73117-1426
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Country | US
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Telephone | 580-747-9699
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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 | 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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