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General NPI Number Information
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NPI Number | 1861305906
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Entity Type | Organization
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Legal Business Name | B KATIGAN WRAPAROUND SERVICES, LLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 333 W MAIN ST STE 210
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City | ARDMORE
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State | OK
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Zip | 73401-6320
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Country | US
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Telephone | 405-664-7857
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Fax | 580-309-5814
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Provider Business Mailing Address
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Address Line | 333 W MAIN ST STE 210
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City | ARDMORE
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State | OK
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Zip | 73401-6320
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Country | US
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Telephone | 405-664-7857
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Fax | 580-309-5814
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Authorized Official
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Title or Position | OWNER AND SOLE PROVIDER40566478574
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Name | MR. FORREST BRENT KATIGAN
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Credential | LADC/MH
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Telephone | 405-664-7857
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | NULL
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Taxonomy #2
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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 | NULL
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