Tazmen A West is a Counselor based in Broken Arrow, OK. Tazmen A West practices in Wagoner, OK. The NPI Number for Tazmen A West is 1245759505 and holds a License No. (Oklahoma).
The current practice location address for Tazmen A West is 109 S Harrill Ave, Wagoner, OK and can be reached out via phone at 918-485-0242.
Location: 109 S Harrill Ave, Wagoner, OK, 74011-4854
Provider Profile Details
NPI Number
1245759505
Provider Name
Tazmen A West
Credential
Provider Entity Type
Individual
Gender
Male
Address
109 S Harrill Ave, Wagoner, OK, 74011-4854
Phone Number
918-485-0242
Fax Number
Provider Enumeration Date
09/18/2017
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558815936 | 05 | OK |
Provider Business Practice Location Address Details
Address
109 S Harrill Ave
City
State
Zip
74467-5317
Phone Number
918-485-0242
Fax Number
Provider Business Mailing Address Details
Address
109 S Harrill Ave
City
State
Zip
74467-5317
Phone Number
918-485-0242
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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