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Jessie Lou Poahway
Peer Specialist in Altus, Oklahoma
NPI 1316646672

Jessie Lou Poahway is a Peer Specialist based in Altus, OK. Jessie Lou Poahway practices in Altus, OK. The NPI Number for Jessie Lou Poahway is 1316646672 and holds a License No. (Oklahoma).

The current practice location address for Jessie Lou Poahway is 1332 N Thomas St Apt 14, Altus, OK and can be reached out via phone at 580-318-0654.

Location: 1332 N Thomas St Apt 14, Altus, OK, 73521-2852
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316646672
Provider Name
Jessie Lou Poahway
Credential
Provider Entity Type
Individual
Gender
Female
Address
1332 N Thomas St Apt 14, Altus, OK, 73521-2852
Phone Number
580-318-0654
Fax Number
Provider Enumeration Date
02/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1332 N Thomas St Apt 14
City
Altus
State
Oklahoma
Zip
73521-2852
Phone Number
580-318-0654
Fax Number
person
Provider Business Mailing Address Details
Address
1332 N Thomas St Apt 14
City
Altus
State
Oklahoma
Zip
73521-2852
Phone Number
580-318-0654
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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