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General NPI Number Information
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NPI Number | 1679665079
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Entity Type | Organization
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Legal Business Name | WILLIAMS COUNSELING LLC
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 824 ANNIE COURT
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City | NORMAN
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State | OK
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Zip | 73069-4236
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Country | US
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Telephone | 405-812-5934
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Fax | 405-364-2697
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Provider Business Mailing Address
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Address Line | 824 ANNIE COURT
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City | NORMAN
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State | OK
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Zip | 73069-4236
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Country | US
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Telephone | 405-812-5934
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Fax | 405-364-2697
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Authorized Official
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Title or Position | OWNER CEO
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Name | MRS. MYRNA JEAN WILLIAMS
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Credential | LPC NCC
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Telephone | 405-812-5934
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 2681
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2681
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License Number State | OK
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