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Daniel Mallotte West
Peer Specialist in Pawhuska, Oklahoma
NPI 1124894589

Daniel Mallotte West is a Peer Specialist based in Pawhuska, OK. Daniel Mallotte West practices in Pawhuska, OK. The NPI Number for Daniel Mallotte West is 1124894589 and holds a License No. (Oklahoma).

The current practice location address for Daniel Mallotte West is 100 W Main St Fl 4, Pawhuska, OK and can be reached out via phone at 918-287-5413 and via fax at 918-287-5234.

Location: 100 W Main St Fl 4, Pawhuska, OK, 74056-4149
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124894589
Provider Name
Daniel Mallotte West
Credential
Provider Entity Type
Individual
Gender
Male
Address
100 W Main St Fl 4, Pawhuska, OK, 74056-4149
Phone Number
918-287-5413
Fax Number
918-287-5234
Provider Enumeration Date
11/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 W Main St Fl 4
City
Pawhuska
State
Oklahoma
Zip
74056-4149
Phone Number
918-287-5413
Fax Number
918-287-5234
person
Provider Business Mailing Address Details
Address
100 W Main St Fl 4
City
Pawhuska
State
Oklahoma
Zip
74056-4149
Phone Number
918-287-5413
Fax Number
918-287-5234
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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