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General NPI Number Information
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NPI Number | 1831615137
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Entity Type | Individual
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Provider Name | J'BRIEL ELIZABETH PORTER LPC
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Gender | Female
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Dates
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Enumeration Date | 08/17/2017
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 7877 WILLOW CHASE BLVD
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City | HOUSTON
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State | TX
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Zip | 77070-5934
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Country | US
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Telephone | 832-869-4818
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Fax | 832-241-2902
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Provider Business Mailing Address
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Address Line | 1615 PICKENS ST
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City | MUSKOGEE
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State | OK
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Zip | 74401-4134
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Country | US
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Telephone | 918-239-2527
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | MC61493093
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License Number State | WA
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 88262
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License Number State | TX
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