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Daniel T Bernal
Peer Specialist in Sapulpa, Oklahoma
NPI 1659014090

Daniel T Bernal is a Peer Specialist based in Sapulpa, OK. Daniel T Bernal practices in Sapulpa, OK. The NPI Number for Daniel T Bernal is 1659014090 and holds a License No. (Oklahoma).

The current practice location address for Daniel T Bernal is 11680 S 153Rd West Ave, Sapulpa, OK and can be reached out via phone at 918-512-6273.

Location: 11680 S 153Rd West Ave, Sapulpa, OK, 74066-8564
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659014090
Provider Name
Daniel T Bernal
Credential
Provider Entity Type
Individual
Gender
Male
Address
11680 S 153Rd West Ave, Sapulpa, OK, 74066-8564
Phone Number
918-512-6273
Fax Number
Provider Enumeration Date
04/14/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09-194-1801 01 CO DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
11680 S 153Rd West Ave
City
Sapulpa
State
Oklahoma
Zip
74066-8564
Phone Number
918-512-6273
Fax Number
person
Provider Business Mailing Address Details
Address
11680 S 153Rd West Ave
City
Sapulpa
State
Oklahoma
Zip
74066-8564
Phone Number
918-512-6273
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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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