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Timothy Wayne Foreman
Peer Specialist in Tahlequah, Oklahoma
NPI 1114613973

Timothy Wayne Foreman is a Peer Specialist based in Oaks, OK. Timothy Wayne Foreman practices in Tahlequah, OK. The NPI Number for Timothy Wayne Foreman is 1114613973 and holds a License No. (Oklahoma).

The current practice location address for Timothy Wayne Foreman is 16414 W 760 Rd, Tahlequah, OK and can be reached out via phone at 918-708-9009.

Location: 16414 W 760 Rd, Tahlequah, OK, 74359-0073
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114613973
Provider Name
Timothy Wayne Foreman
Credential
Provider Entity Type
Individual
Gender
Male
Address
16414 W 760 Rd, Tahlequah, OK, 74359-0073
Phone Number
918-708-9009
Fax Number
Provider Enumeration Date
04/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16414 W 760 Rd
City
Tahlequah
State
Oklahoma
Zip
74464-1675
Phone Number
918-708-9009
Fax Number
person
Provider Business Mailing Address Details
Address
16414 W 760 Rd
City
Tahlequah
State
Oklahoma
Zip
74464-1675
Phone Number
918-708-9009
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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.
person
Provider's Taxonomy Details 3
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
()
Definition
Definition to come...
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