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General NPI Number Information
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NPI Number | 1891069852
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Entity Type | Organization
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Legal Business Name | EDMOND CHILD AND FAMILY GUIDANCE CENTER
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Dates
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Enumeration Date | 03/08/2012
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 1425 SOUTH FRETZ AVENUE
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City | EDMOND
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State | OK
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Zip | 73003
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Country | US
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Telephone | 405-341-8894
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Fax |
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Provider Business Mailing Address
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Address Line | 1425 SOUTH FRETZ AVENUE
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City | EDMOND
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State | OK
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Zip | 73003
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Country | US
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Telephone | 405-341-8894
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CAROL LEE PAPIN
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Credential | LPC
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Telephone | 405-341-8895
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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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