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Jake Andrew Stopp
Peer Specialist in Tahlequah, Oklahoma
NPI 1417524984

Jake Andrew Stopp is a Peer Specialist based in Tahlequah, OK. Jake Andrew Stopp practices in Tahlequah, OK. The NPI Number for Jake Andrew Stopp is 1417524984 and holds a License No. (Oklahoma).

The current practice location address for Jake Andrew Stopp is 513 Talley St, Tahlequah, OK and can be reached out via phone at 918-457-8495.

Location: 513 Talley St, Tahlequah, OK, 74464-4733
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417524984
Provider Name
Jake Andrew Stopp
Credential
Provider Entity Type
Individual
Gender
Male
Address
513 Talley St, Tahlequah, OK, 74464-4733
Phone Number
918-457-8495
Fax Number
Provider Enumeration Date
06/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
513 Talley St
City
Tahlequah
State
Oklahoma
Zip
74464-6335
Phone Number
918-457-8495
Fax Number
person
Provider Business Mailing Address Details
Address
513 Talley St
City
Tahlequah
State
Oklahoma
Zip
74464-6335
Phone Number
918-457-8495
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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