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General NPI Number Information
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NPI Number | 1497896609
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Entity Type | Individual
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Provider Name | AMY KESNER LPC
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Gender | Female
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 4835 S FULTON AVE STE 100
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City | TULSA
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State | OK
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Zip | 74135-6976
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Country | US
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Telephone | 918-591-3071
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Fax | 918-615-2261
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Provider Business Mailing Address
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Address Line | 4141 E 46TH ST
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City | TULSA
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State | OK
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Zip | 74135-4722
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Country | US
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Telephone | 918-712-9989
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2325
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License Number State | OK
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