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Chad Lewman
Peer Specialist in Tahlequah, Oklahoma
NPI 1881358810

Chad Lewman is a Peer Specialist based in Wagoner, OK. Chad Lewman practices in Tahlequah, OK. The NPI Number for Chad Lewman is 1881358810 and holds a License No. (Oklahoma).

The current practice location address for Chad Lewman is 118 W Keetoowah St, Tahlequah, OK and can be reached out via phone at 918-729-5558. You can also correspond with Chad Lewman through the mailing address at 1103 SE 15TH ST, WAGONER, OK - 74467-8101 (mailing address contact number: 918-729-5558).

Location: 118 W Keetoowah St, Tahlequah, OK, 74467-8101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881358810
Provider Name
Chad Lewman
Credential
Provider Entity Type
Individual
Gender
Male
Address
118 W Keetoowah St, Tahlequah, OK, 74467-8101
Phone Number
918-729-5558
Fax Number
Provider Enumeration Date
10/26/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1134704489 05 OK
institution
Provider Business Practice Location Address Details
Address
118 W Keetoowah St
City
Tahlequah
State
Oklahoma
Zip
74464-3820
Phone Number
918-729-5558
Fax Number
person
Provider Business Mailing Address Details
Address
118 W Keetoowah St
City
Tahlequah
State
Oklahoma
Zip
74464-3820
Phone Number
918-729-5558
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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