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Mr. Ryan Jay Whitehorse
Peer Specialist in Enid, Oklahoma
NPI 1588087506

Ryan Jay Whitehorse is a Peer Specialist based in Enid, OK. Ryan Jay Whitehorse practices in Enid, OK. The NPI Number for Ryan Jay Whitehorse is 1588087506 and holds a License No. (Oklahoma).

The current practice location address for Ryan Jay Whitehorse is 1106 Hillside Dr, Enid, OK and can be reached out via phone at 405-310-9110.

Location: 1106 Hillside Dr, Enid, OK, 73701-7758
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588087506
Provider Name
Ryan Jay Whitehorse
Credential
Provider Entity Type
Individual
Gender
Male
Address
1106 Hillside Dr, Enid, OK, 73701-7758
Phone Number
405-310-9110
Fax Number
Provider Enumeration Date
01/27/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1106 Hillside Dr
City
Enid
State
Oklahoma
Zip
73701-7758
Phone Number
405-310-9110
Fax Number
person
Provider Business Mailing Address Details
Address
1106 Hillside Dr
City
Enid
State
Oklahoma
Zip
73701-7758
Phone Number
405-310-9110
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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