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Michael Sean Fouquet
Peer Specialist in Coyle, Oklahoma
NPI 1811437650

Michael Sean Fouquet is a Peer Specialist based in Coyle, OK. Michael Sean Fouquet practices in Coyle, OK. The NPI Number for Michael Sean Fouquet is 1811437650 and holds a License No. (Oklahoma).

The current practice location address for Michael Sean Fouquet is 11818 W. 104Th St, Coyle, OK and can be reached out via phone at 405-714-2513.

Location: 11818 W. 104Th St, Coyle, OK, 73027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811437650
Provider Name
Michael Sean Fouquet
Credential
Provider Entity Type
Individual
Gender
Male
Address
11818 W. 104Th St, Coyle, OK, 73027
Phone Number
405-714-2513
Fax Number
Provider Enumeration Date
02/27/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11818 W. 104Th St
City
Coyle
State
Oklahoma
Zip
73027
Phone Number
405-714-2513
Fax Number
person
Provider Business Mailing Address Details
Address
11818 W. 104Th St
City
Coyle
State
Oklahoma
Zip
73027
Phone Number
405-714-2513
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Oklahoma)
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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