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Mr. Harrison Blake Hartzell
Peer Specialist in Shawnee, Oklahoma
NPI 1730706821

Harrison Blake Hartzell is a Peer Specialist based in Shawnee, OK. Harrison Blake Hartzell practices in Shawnee, OK. The NPI Number for Harrison Blake Hartzell is 1730706821 and holds a License No. (Oklahoma).

The current practice location address for Harrison Blake Hartzell is 1010 E 45Th St, Shawnee, OK and can be reached out via phone at 405-273-1170.

Location: 1010 E 45Th St, Shawnee, OK, 74804-2368
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730706821
Provider Name
Harrison Blake Hartzell
Credential
Provider Entity Type
Individual
Gender
Male
Address
1010 E 45Th St, Shawnee, OK, 74804-2368
Phone Number
405-273-1170
Fax Number
Provider Enumeration Date
07/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1010 E 45Th St
City
Shawnee
State
Oklahoma
Zip
74804-2202
Phone Number
405-273-1170
Fax Number
person
Provider Business Mailing Address Details
Address
1010 E 45Th St
City
Shawnee
State
Oklahoma
Zip
74804-2202
Phone Number
405-273-1170
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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