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Eaglebear Eastman
Peer Specialist in Tahlequah, Oklahoma
NPI 1295434165

Eaglebear Eastman is a Peer Specialist based in Tahlequah, OK. Eaglebear Eastman practices in Tahlequah, OK. The NPI Number for Eaglebear Eastman is 1295434165 and holds a License No. (Oklahoma).

The current practice location address for Eaglebear Eastman is 214 N Bliss Ave, Tahlequah, OK and can be reached out via phone at 539-234-3785.

Location: 214 N Bliss Ave, Tahlequah, OK, 74464-5132
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295434165
Provider Name
Eaglebear Eastman
Credential
Provider Entity Type
Individual
Gender
Male
Address
214 N Bliss Ave, Tahlequah, OK, 74464-5132
Phone Number
539-234-3785
Fax Number
Provider Enumeration Date
02/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
214 N Bliss Ave
City
Tahlequah
State
Oklahoma
Zip
74464-2520
Phone Number
539-234-3785
Fax Number
person
Provider Business Mailing Address Details
Address
214 N Bliss Ave
City
Tahlequah
State
Oklahoma
Zip
74464-2520
Phone Number
539-234-3785
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Oklahoma)
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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