Zachary Blackowl
Peer Specialist in El Reno, OK. Individual provider (NPI-1).
NPI number1679386296
StatusActive
Last updated in NPPESJan 28, 2025
Details
- NPI
- 1679386296
- Entity type
- Individual (NPI-1)
- Name
- Zachary Blackowl
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 28, 2025
- Certification date
- Jan 28, 2025
- Last updated
- Jan 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
1950 S Shepard AveEl Reno, OK 73036-6357
Phone 405-365-7709
Mailing address
1108 Skyview DrEl Reno, OK 73036-2026
Phone 405-202-8957
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All 35 Peer Specialist providers in El Reno · All 503 providers in El Reno
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