Quinton Smith
Peer Specialist in Tulsa, OK. Individual provider (NPI-1).
NPI number1710692223
StatusActive
Last updated in NPPESFeb 17, 2023
Details
- NPI
- 1710692223
- Entity type
- Individual (NPI-1)
- Name
- Quinton Smith
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 18, 2023
- Certification date
- Feb 17, 2023
- Last updated
- Feb 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
| 171WH0202X | Contractor, Home Modifications | – | – |
Practice location
1415 W 78th St Apt 1106Tulsa, OK 74132-4629
Phone 918-350-1266
Mailing address
1415 W 78th St Apt 1106Tulsa, OK 74132-4629
Phone 918-350-1266
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