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Caleb Christopher Blevins
Peer Specialist in Poteau, Oklahoma
NPI 1780227454

Caleb Christopher Blevins is a Peer Specialist based in Poteau, OK. Caleb Christopher Blevins practices in Poteau, OK. The NPI Number for Caleb Christopher Blevins is 1780227454 and holds a License No. (Oklahoma).

The current practice location address for Caleb Christopher Blevins is 1212 Reynolds Ave, Poteau, OK and can be reached out via phone at 918-649-0172. You can also correspond with Caleb Christopher Blevins through the mailing address at 1212 REYNOLDS AVE, POTEAU, OK - 74953-4724 (mailing address contact number: ).

Location: 1212 Reynolds Ave, Poteau, OK, 74953-4724
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780227454
Provider Name
Caleb Christopher Blevins
Credential
Provider Entity Type
Individual
Gender
Male
Address
1212 Reynolds Ave, Poteau, OK, 74953-4724
Phone Number
918-649-0172
Fax Number
Provider Enumeration Date
10/24/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000000 05 OK
institution
Provider Business Practice Location Address Details
Address
1212 Reynolds Ave
City
Poteau
State
Oklahoma
Zip
74953-4724
Phone Number
918-649-0172
Fax Number
person
Provider Business Mailing Address Details
Address
1212 Reynolds Ave
City
Poteau
State
Oklahoma
Zip
74953-4724
Phone Number
918-649-0172
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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