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Nicholena Angelique Neubauer
Peer Specialist in Okemah, Oklahoma
NPI 1104408079

Nicholena Angelique Neubauer is a Peer Specialist based in Okemah, OK. Nicholena Angelique Neubauer practices in Okemah, OK. The NPI Number for Nicholena Angelique Neubauer is 1104408079 and holds a License No. (Oklahoma).

The current practice location address for Nicholena Angelique Neubauer is 209 W Broadway St, Okemah, OK and can be reached out via phone at 918-650-8561.

Location: 209 W Broadway St, Okemah, OK, 74859-2618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104408079
Provider Name
Nicholena Angelique Neubauer
Credential
Provider Entity Type
Individual
Gender
Female
Address
209 W Broadway St, Okemah, OK, 74859-2618
Phone Number
918-650-8561
Fax Number
Provider Enumeration Date
04/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
209 W Broadway St
City
Okemah
State
Oklahoma
Zip
74859-2618
Phone Number
918-650-8561
Fax Number
person
Provider Business Mailing Address Details
Address
209 W Broadway St
City
Okemah
State
Oklahoma
Zip
74859-2618
Phone Number
918-650-8561
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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