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General NPI Number Information
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NPI Number | 1447645205
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Entity Type | Organization
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Legal Business Name | YOUTH COUNSELING SOLUTIONS PLLC
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Dates
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Enumeration Date | 03/30/2015
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Last Update Date | 03/30/2015
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Provider Practice Location Address
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Address Line | 6106 PAT AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73149-5035
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Country | US
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Telephone | 405-620-0380
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Fax |
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Provider Business Mailing Address
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Address Line | 6106 PAT AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73149-5035
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Country | US
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Telephone | 405-620-0380
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | CHRISTA HARRISON
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Credential | LADC
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Telephone | 405-620-0380
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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 | 938
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License Number State | OK
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