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.
Location: 118 W Keetoowah St, Tahlequah, OK, 74467-8101
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
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134704489 | 05 | OK |
Provider Business Practice Location Address Details
Address
118 W Keetoowah St
City
State
Zip
74464-3820
Phone Number
918-729-5558
Fax Number
Provider Business Mailing Address Details
Address
118 W Keetoowah St
City
State
Zip
74464-3820
Phone Number
918-729-5558
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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