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Samantha Nissi Cowan
Peer Specialist in Burns Flat, Oklahoma
NPI 1487389433

Samantha Nissi Cowan is a Peer Specialist based in Burns Flat, OK. Samantha Nissi Cowan practices in Burns Flat, OK. The NPI Number for Samantha Nissi Cowan is 1487389433 and holds a License No. (Oklahoma).

The current practice location address for Samantha Nissi Cowan is 420 Sooner Dr, Burns Flat, OK and can be reached out via phone at 580-562-4882 and via fax at 580-562-4880.

Location: 420 Sooner Dr, Burns Flat, OK, 73624-0569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487389433
Provider Name
Samantha Nissi Cowan
Credential
Provider Entity Type
Individual
Gender
Female
Address
420 Sooner Dr, Burns Flat, OK, 73624-0569
Phone Number
580-562-4882
Fax Number
580-562-4880
Provider Enumeration Date
07/22/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1982861134 05 OK
institution
Provider Business Practice Location Address Details
Address
420 Sooner Dr
City
Burns Flat
State
Oklahoma
Zip
73624-0569
Phone Number
580-562-4882
Fax Number
580-562-4880
person
Provider Business Mailing Address Details
Address
420 Sooner Dr
City
Burns Flat
State
Oklahoma
Zip
73624-0569
Phone Number
580-562-4882
Fax Number
580-562-4880
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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