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NPI 1417434259

NPI 1417434259 : KATHRYN E SANDEFUR LMFT : TULSA, OK

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General NPI Number Information
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    NPI Number           |    1417434259
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    Entity Type          |    Individual 
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    Provider Name        |    KATHRYN E SANDEFUR LMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/24/2018
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    Last Update Date     |    02/04/2025
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Provider Practice Location Address
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    Address Line         |    2202 E 49TH ST STE 400 
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74105-8714
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    Country              |    US
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    Telephone            |    918-749-1840
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    Fax                  |    918-749-1841
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Provider Business Mailing Address
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    Address Line         |    6718 S 71ST EAST AVE 
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74133-1817
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    Country              |    US
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    Telephone            |    918-800-1322
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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