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Steven Alan Janicke
Peer Specialist in Lawton, Oklahoma
NPI 1710764287

Steven Alan Janicke is a Peer Specialist based in Lawton, OK. Steven Alan Janicke practices in Lawton, OK. The NPI Number for Steven Alan Janicke is 1710764287 and holds a License No. (Oklahoma).

The current practice location address for Steven Alan Janicke is 920 Sw Goodyear Blvd, Lawton, OK and can be reached out via phone at 580-536-2496.

Location: 920 Sw Goodyear Blvd, Lawton, OK, 73505-9759
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710764287
Provider Name
Steven Alan Janicke
Credential
Provider Entity Type
Individual
Gender
Male
Address
920 Sw Goodyear Blvd, Lawton, OK, 73505-9759
Phone Number
580-536-2496
Fax Number
Provider Enumeration Date
09/11/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
920 Sw Goodyear Blvd
City
Lawton
State
Oklahoma
Zip
73505-9759
Phone Number
580-536-2496
Fax Number
person
Provider Business Mailing Address Details
Address
920 Sw Goodyear Blvd
City
Lawton
State
Oklahoma
Zip
73505-9759
Phone Number
580-536-2496
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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