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General NPI Number Information
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NPI Number | 1598123374
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Entity Type | Individual
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Provider Name | OHNRE' JEROME WHALEY M.ED, MHR, LPC
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Gender | Male
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Dates
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Enumeration Date | 02/08/2016
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 9212 N KELLEY AVE STE 200
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City | OKLAHOMA CITY
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State | OK
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Zip | 73131-2419
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Country | US
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Telephone | 405-242-5070
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Fax |
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Provider Business Mailing Address
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Address Line | 9212 N KELLEY AVE STE 200
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City | OKLAHOMA CITY
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State | OK
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Zip | 73131-2419
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Country | US
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Telephone | 405-242-5070
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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 | LPC07367
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License Number State | OK
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