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General NPI Number Information
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NPI Number | 1548447725
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Entity Type | Individual
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Provider Name | JENNIFER ANN HARRIS LPC
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Gender | Female
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Dates
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Enumeration Date | 01/30/2008
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 501 N MUSTANG RD STE E
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City | MUSTANG
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State | OK
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Zip | 73064-7044
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Country | US
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Telephone | 405-806-0089
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Fax | 405-451-4169
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Provider Business Mailing Address
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Address Line | 5104 CALEB ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73179-4603
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Country | US
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Telephone | 347-224-0993
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 01192
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License Number State | OK
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