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NPI 1740938471

NPI 1740938471 : A COUNSELING CONNECTION : CATOOSA, OK

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General NPI Number Information
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    NPI Number           |    1740938471
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    Entity Type          |    Organization 
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    Legal Business Name  |    A COUNSELING CONNECTION 
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Dates
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    Enumeration Date     |    03/11/2022
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    Last Update Date     |    03/11/2022
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Provider Practice Location Address
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    Address Line         |    3013 N HIGHWAY 167 STE D 
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    City                 |    CATOOSA
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    State                |    OK
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    Zip                  |    74015-3348
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    Country              |    US
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    Telephone            |    918-986-0668
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3013 N HIGHWAY 167 STE D 
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    City                 |    CATOOSA
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    State                |    OK
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    Zip                  |    74015-3348
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    Country              |    US
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    Telephone            |    918-986-0668
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JOANNA E HUGHES 
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    Credential           |    LPC-SUPERVISOR
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    Telephone            |    918-645-0578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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