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General NPI Number Information
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NPI Number | 1972468726
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Entity Type | Individual
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Provider Name | JONI LIA GRAHAM LPC-CANDIDATE
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Gender | Female
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Dates
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Enumeration Date | 12/23/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 624 W 18TH ST
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City | EDMOND
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State | OK
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Zip | 73013-3631
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Country | US
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Telephone | 405-315-4593
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Fax |
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Provider Business Mailing Address
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Address Line | 1120 VERMONT AVE
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City | NEWCASTLE
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State | OK
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Zip | 73065-0407
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Country | US
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Telephone | 405-237-9012
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Fax |
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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 | LPCCANDIDATE13158
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License Number State | OK
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