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General NPI Number Information
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NPI Number | 1578425047
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Entity Type | Organization
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Legal Business Name | VALIANCE WITHIN, FAITH AND GRACE COUNSELING, PLLC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 420 S MUSTANG RD
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City | YUKON
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State | OK
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Zip | 73099-7316
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Country | US
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Telephone | 405-283-8441
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Fax |
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Provider Business Mailing Address
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Address Line | 420 S MUSTANG RD
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City | YUKON
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State | OK
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Zip | 73099-7316
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Country | US
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Telephone | 405-283-8441
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | BRITNY NICOLE LANE
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Credential | MA, LPC
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Telephone | 405-837-5091
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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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