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General NPI Number Information
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NPI Number | 1659141000
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Entity Type | Organization
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Legal Business Name | TAMARA STONEBARGER COUNSELING
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 428 S MUSTANG RD
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City | YUKON
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State | OK
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Zip | 73099-6946
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Country | US
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Telephone | 703-577-4829
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Fax |
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Provider Business Mailing Address
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Address Line | 1513 NW 126TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-5088
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Country | US
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Telephone | 703-577-4829
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAMARA STONEBARGER
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Credential | LPC
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Telephone | 703-577-4829
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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