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General NPI Number Information
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NPI Number | 1679499545
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Entity Type | Organization
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Legal Business Name | BLJ COUNSELING AND CONSULTING PC
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 2508 E 71ST ST STE C
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City | TULSA
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State | OK
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Zip | 74136-5572
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Country | US
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Telephone | 918-794-6570
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Fax | 918-340-5189
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Provider Business Mailing Address
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Address Line | 2508 E 71ST ST STE C
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City | TULSA
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State | OK
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Zip | 74136-5572
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Country | US
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Telephone | 918-794-6570
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Fax | 918-340-5189
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Authorized Official
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Title or Position | LPC-S, LADC
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Name | MS. LATIA RIKAYLE PARKER
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Credential |
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Telephone | 918-794-6570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #6
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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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