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Racheal Fawn Fortney
Peer Specialist in Pawhuska, Oklahoma
NPI 1457066516

Racheal Fawn Fortney is a Peer Specialist based in Pawhuska, OK. Racheal Fawn Fortney practices in Pawhuska, OK. The NPI Number for Racheal Fawn Fortney is 1457066516 and holds a License No. (Oklahoma).

The current practice location address for Racheal Fawn Fortney is 100 W Main St Fl 4, Pawhuska, OK and can be reached out via phone at 918-287-3286.

Location: 100 W Main St Fl 4, Pawhuska, OK, 74056-4149
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457066516
Provider Name
Racheal Fawn Fortney
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 W Main St Fl 4, Pawhuska, OK, 74056-4149
Phone Number
918-287-3286
Fax Number
Provider Enumeration Date
01/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 W Main St Fl 4
City
Pawhuska
State
Oklahoma
Zip
74056-4149
Phone Number
918-287-3286
Fax Number
person
Provider Business Mailing Address Details
Address
100 W Main St Fl 4
City
Pawhuska
State
Oklahoma
Zip
74056-4149
Phone Number
918-287-3286
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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