Steven Jacob Fishinghawk
Peer Specialist in Tahlequah, OK. Individual provider (NPI-1).
NPI number1104656172
StatusActive
Last updated in NPPESAug 5, 2024
Details
- NPI
- 1104656172
- Entity type
- Individual (NPI-1)
- Name
- Steven Jacob Fishinghawk
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 5, 2024
- Certification date
- Aug 5, 2024
- Last updated
- Aug 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
118 W Keetoowah StTahlequah, OK 74464-3820
Phone 918-506-3105
Mailing address
118 W Keetoowah StTahlequah, OK 74464-3820
Phone 918-506-3105
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All 135 Peer Specialist providers in Tahlequah · All 1,444 providers in Tahlequah
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