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General NPI Number Information
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NPI Number | 1720323934
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Entity Type | Organization
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Legal Business Name | PROCESS TO PROGRESS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 11/29/2012
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Last Update Date | 11/29/2012
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Provider Practice Location Address
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Address Line | 2101 DEL SIMMONS DR
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City | EDMOND
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State | OK
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Zip | 73003-2411
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Country | US
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Telephone | 316-990-1907
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Fax |
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Provider Business Mailing Address
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Address Line | 2101 DEL SIMMONS DR
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City | EDMOND
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State | OK
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Zip | 73003-2411
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Country | US
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Telephone | 316-990-1907
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. WILLIAM HENRY MUKES JR.
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Credential | LMFT
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Telephone | 316-990-1907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1158
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1041
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License Number State | OK
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