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General NPI Number Information
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NPI Number | 1881004406
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Entity Type | Individual
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Provider Name | CECILIE CROISSANT LPC
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Gender | Female
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Dates
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Enumeration Date | 05/05/2014
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 10310 N 138TH EAST AVE
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City | OWASSO
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State | OK
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Zip | 74055-4604
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Country | US
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Telephone | 918-510-4251
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Fax | 918-612-2033
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Provider Business Mailing Address
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Address Line | 13580 E 132ND ST N
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City | COLLINSVILLE
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State | OK
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Zip | 74021-4359
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Country | US
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Telephone | 918-510-4251
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Fax | 918-612-2033
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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 | 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 #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6030
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License Number State | OK
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