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Jordan Dakota Hathcoat
Peer Specialist in Perkins, Oklahoma
NPI 1629782156

Jordan Dakota Hathcoat is a Peer Specialist based in Perkins, OK. Jordan Dakota Hathcoat practices in Perkins, OK. The NPI Number for Jordan Dakota Hathcoat is 1629782156 and holds a License No. (Oklahoma).

The current practice location address for Jordan Dakota Hathcoat is 509 E Highway 33, Perkins, OK and can be reached out via phone at 405-547-4363 and via fax at 405-547-2930.

Location: 509 E Highway 33, Perkins, OK, 74059-4129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629782156
Provider Name
Jordan Dakota Hathcoat
Credential
Provider Entity Type
Individual
Gender
Male
Address
509 E Highway 33, Perkins, OK, 74059-4129
Phone Number
405-547-4363
Fax Number
405-547-2930
Provider Enumeration Date
01/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
509 E Highway 33
City
Perkins
State
Oklahoma
Zip
74059-4129
Phone Number
405-547-4363
Fax Number
405-547-2930
person
Provider Business Mailing Address Details
Address
509 E Highway 33
City
Perkins
State
Oklahoma
Zip
74059-4129
Phone Number
405-547-4363
Fax Number
405-547-2930
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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