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Steven Anderson Shade
Peer Specialist in Tahlequah, Oklahoma
NPI 1326764705

Steven Anderson Shade is a Peer Specialist based in Tahlequah, OK. Steven Anderson Shade practices in Tahlequah, OK. The NPI Number for Steven Anderson Shade is 1326764705 and holds a License No. (Oklahoma).

The current practice location address for Steven Anderson Shade is 1011 S Muskogee Ave, Tahlequah, OK and can be reached out via phone at 918-525-6035.

Location: 1011 S Muskogee Ave, Tahlequah, OK, 74464-1809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326764705
Provider Name
Steven Anderson Shade
Credential
Provider Entity Type
Individual
Gender
Male
Address
1011 S Muskogee Ave, Tahlequah, OK, 74464-1809
Phone Number
918-525-6035
Fax Number
Provider Enumeration Date
10/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1011 S Muskogee Ave
City
Tahlequah
State
Oklahoma
Zip
74464-4733
Phone Number
918-525-6035
Fax Number
person
Provider Business Mailing Address Details
Address
1011 S Muskogee Ave
City
Tahlequah
State
Oklahoma
Zip
74464-4733
Phone Number
918-525-6035
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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