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Nicklas Bates Adair
Peer Specialist in Jay, Oklahoma
NPI 1619738820

Nicklas Bates Adair is a Peer Specialist based in Jay, OK. Nicklas Bates Adair practices in Jay, OK. The NPI Number for Nicklas Bates Adair is 1619738820 and holds a License No. (Oklahoma).

The current practice location address for Nicklas Bates Adair is 1015 W Washbourne St, Jay, OK and can be reached out via phone at 918-740-4369.

Location: 1015 W Washbourne St, Jay, OK, 74346-4205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619738820
Provider Name
Nicklas Bates Adair
Credential
Provider Entity Type
Individual
Gender
Male
Address
1015 W Washbourne St, Jay, OK, 74346-4205
Phone Number
918-740-4369
Fax Number
Provider Enumeration Date
01/16/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1015 W Washbourne St
City
Jay
State
Oklahoma
Zip
74346-4205
Phone Number
918-740-4369
Fax Number
person
Provider Business Mailing Address Details
Address
1015 W Washbourne St
City
Jay
State
Oklahoma
Zip
74346-4205
Phone Number
918-740-4369
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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