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General NPI Number Information
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NPI Number | 1942690318
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Entity Type | Organization
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Legal Business Name | KMS COUNSELING, PLC
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Dates
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Enumeration Date | 01/23/2015
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Last Update Date | 02/12/2015
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Provider Practice Location Address
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Address Line | 1901 N CLASSEN BLVD SUITE 101
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City | OKLAHOMA CITY
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State | OK
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Zip | 73106-6015
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Country | US
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Telephone | 405-921-4521
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 N CLASSEN BLVD SUITE 101
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City | OKLAHOMA CITY
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State | OK
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Zip | 73106-6015
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Country | US
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Telephone | 405-921-4521
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | DR. KAMARIA SMITH
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Credential | PHD, LPC
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Telephone | 405-921-5521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 4613
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License Number State | OK
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