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Bradley Wouters
Peer Specialist in Sapulpa, Oklahoma
NPI 1659060671

Bradley Wouters is a Peer Specialist based in Sapulpa, OK. Bradley Wouters practices in Sapulpa, OK. The NPI Number for Bradley Wouters is 1659060671 and holds a License No. (Oklahoma).

The current practice location address for Bradley Wouters 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
1659060671
Provider Name
Bradley Wouters
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
05/04/2023
Last Update Date
03/10/2024
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
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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