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General NPI Number Information
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NPI Number | 1598415572
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Entity Type | Organization
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Legal Business Name | JOYFUL REFLECTIONS COUNSELING AND CONSULTING PLLC
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Dates
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Enumeration Date | 03/24/2022
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 16301 SONOMA PARK DR
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City | EDMOND
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State | OK
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Zip | 73013-2091
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Country | US
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Telephone | 580-445-8106
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Fax |
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Provider Business Mailing Address
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Address Line | 15417 CARDINAL NEST DR
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City | EDMOND
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State | OK
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Zip | 73013-1068
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Country | US
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Telephone | 580-445-8106
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | VICTORIA SCOVILLE
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Credential | LCSW
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Telephone | 580-445-8106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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