person
Cantrell Eugene Watts
Peer Specialist in Midwest City, Oklahoma
NPI 1750899100

Cantrell Eugene Watts is a Peer Specialist based in Midwest City, OK. Cantrell Eugene Watts practices in Midwest City, OK. The NPI Number for Cantrell Eugene Watts is 1750899100 and holds a License No. (Oklahoma).

The current practice location address for Cantrell Eugene Watts is 6016 Se 5Th St, Midwest City, OK and can be reached out via phone at 405-886-8659.

Location: 6016 Se 5Th St, Midwest City, OK, 73110-2250
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Provider Profile Details
NPI Number
1750899100
Provider Name
Cantrell Eugene Watts
Credential
Provider Entity Type
Individual
Gender
Male
Address
6016 Se 5Th St, Midwest City, OK, 73110-2250
Phone Number
405-886-8659
Fax Number
Provider Enumeration Date
01/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6016 Se 5Th St
City
State
Zip
73110-2250
Phone Number
405-886-8659
Fax Number
person
Provider Business Mailing Address Details
Address
6016 Se 5Th St
City
State
Zip
73110-2250
Phone Number
405-886-8659
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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