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Watie Wells JR.
Peer Specialist in Shawnee, Oklahoma
NPI 1568974228

Watie Wells JR. is a Peer Specialist based in Shawnee, OK. Watie Wells JR. practices in Shawnee, OK. The NPI Number for Watie Wells JR. is 1568974228 and holds a License No. (Oklahoma).

The current practice location address for Watie Wells JR. is 318 N Broadway Ave, Shawnee, OK and can be reached out via phone at 405-702-3405 and via fax at 405-842-0505.

Location: 318 N Broadway Ave, Shawnee, OK, 74801-6920
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568974228
Provider Name
Watie Wells JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
318 N Broadway Ave, Shawnee, OK, 74801-6920
Phone Number
405-702-3405
Fax Number
405-842-0505
Provider Enumeration Date
11/02/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
318 N Broadway Ave
City
Shawnee
State
Oklahoma
Zip
74801-6920
Phone Number
405-702-3405
Fax Number
405-842-0505
person
Provider Business Mailing Address Details
Address
318 N Broadway Ave
City
Shawnee
State
Oklahoma
Zip
74801-6920
Phone Number
405-702-3405
Fax Number
405-842-0505
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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