Abraham Colson Bearpaw
Peer Specialist in Wagoner, OK. Individual provider (NPI-1).
NPI number1972201622
StatusActive
Last updated in NPPESFeb 22, 2023
Details
- NPI
- 1972201622
- Entity type
- Individual (NPI-1)
- Name
- Abraham Colson Bearpaw
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2023
- Certification date
- Feb 22, 2023
- Last updated
- Feb 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
902 Martin Luther King BlvdWagoner, OK 74467-6928
Phone 918-316-8180
Mailing address
902 Martin Luther King BlvdWagoner, OK 74467-6928
Phone 918-316-8180
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All 42 Peer Specialist providers in Wagoner · All 366 providers in Wagoner
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