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Mr. Steven Wayne Bookout
Peer Specialist in Ponca City, Oklahoma
NPI 1417601428

Steven Wayne Bookout is a Peer Specialist based in Ponca City, OK. Steven Wayne Bookout practices in Ponca City, OK. The NPI Number for Steven Wayne Bookout is 1417601428 and holds a License No. (Oklahoma).

The current practice location address for Steven Wayne Bookout is 1904 N Union St Ste 103, Ponca City, OK and can be reached out via phone at 580-749-4178.

Location: 1904 N Union St Ste 103, Ponca City, OK, 74601-1542
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417601428
Provider Name
Steven Wayne Bookout
Credential
Provider Entity Type
Individual
Gender
Male
Address
1904 N Union St Ste 103, Ponca City, OK, 74601-1542
Phone Number
580-749-4178
Fax Number
Provider Enumeration Date
02/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1904 N Union St Ste 103
City
Ponca City
State
Oklahoma
Zip
74601-1542
Phone Number
580-749-4178
Fax Number
person
Provider Business Mailing Address Details
Address
1904 N Union St Ste 103
City
Ponca City
State
Oklahoma
Zip
74601-1542
Phone Number
580-749-4178
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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