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General NPI Number Information
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NPI Number | 1497118152
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Entity Type | Organization
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Legal Business Name | CAPABLE COUNSELING SERVICES (CCS), LLC
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Dates
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Enumeration Date | 03/31/2016
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Last Update Date | 05/07/2018
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Provider Practice Location Address
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Address Line | 4900 N PORTLAND AVE STE 105
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-6100
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Country | US
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Telephone | 405-412-6218
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Fax |
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Provider Business Mailing Address
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Address Line | 4900 N PORTLAND AVE STE 105
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-6100
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Country | US
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Telephone | 405-412-6218
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MRS. CHIDIEBERE NDUBUEZE
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Credential | LPC, LADC/MH
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Telephone | 405-412-6218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1098
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5042
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License Number State | OK
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