person
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
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
State
Zip
73505-9759
Phone Number
580-536-2496
Fax Number
person
Provider Business Mailing Address Details
Address
920 Sw Goodyear Blvd
City
State
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
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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