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General NPI Number Information
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NPI Number | 1871284521
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Entity Type | Organization
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Legal Business Name | CEDAR TREE COUNSELING OF OKLAHOMA
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Dates
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Enumeration Date | 05/15/2023
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Last Update Date | 05/15/2023
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Provider Practice Location Address
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Address Line | 6226 E 101ST ST STE 300
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City | TULSA
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State | OK
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Zip | 74137-7117
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Country | US
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Telephone | 918-400-9144
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Fax | 918-400-9144
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Provider Business Mailing Address
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Address Line | 10026A S MINGO RD STE 271
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City | TULSA
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State | OK
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Zip | 74133-5700
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Country | US
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Telephone | 918-400-9144
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Fax | 918-400-9144
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Authorized Official
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Title or Position | MANAGER
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Name | ASHLEY LEWIS
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Credential | LPC
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Telephone | 732-771-4049
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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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