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Traelyn Hendricks

Peer Specialist in Anadarko, OK. Individual provider (NPI-1).

NPI number1336046879
StatusActive
Last updated in NPPESOct 20, 2026

Details

NPI
1336046879
Entity type
Individual (NPI-1)
Name
Traelyn Hendricks
Sex
Male
Sole proprietor
No
Enumeration date
Oct 20, 2026
Certification date
Oct 20, 2026
Last updated
Oct 20, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

1112 Sw 5th St
Anadarko, OK 73005-4841

Phone 405-933-6206

Mailing address

1112 Sw 5th St
Anadarko, OK 73005-4841

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