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NPI 1497418628

NPI 1497418628 : MROBINSON COUNSELING LLC : STILLWATER, OK

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General NPI Number Information
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    NPI Number           |    1497418628
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    Entity Type          |    Organization 
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    Legal Business Name  |    MROBINSON COUNSELING LLC 
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Dates
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    Enumeration Date     |    10/14/2021
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    Last Update Date     |    10/14/2021
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Provider Practice Location Address
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    Address Line         |    4806 N PERKINS RD STE 3 
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    City                 |    STILLWATER
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    State                |    OK
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    Zip                  |    74075-1701
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    Country              |    US
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    Telephone            |    405-714-7160
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    Fax                  |    405-533-3333
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Provider Business Mailing Address
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    Address Line         |    4806 N PERKINS RD STE 3 
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    City                 |    STILLWATER
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    State                |    OK
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    Zip                  |    74075-1701
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    Country              |    US
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    Telephone            |    405-714-7160
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    Fax                  |    405-533-3333
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Authorized Official
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    Title or Position    |    CEO/LICENSED MARRIAGE AND FAMILY TH
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    Name                 |    MRS. MARIE  ABRAHAM-ROBINSON 
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    Credential           |    LMFT
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    Telephone            |    405-714-7160
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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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Taxonomy #2
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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