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Mr. Payden Paul Bethel, CCMA
Peer Specialist in Tahlequah, Oklahoma
NPI 1962184960

Payden Paul Bethel is a Peer Specialist based in Tahlequah, OK. Payden Paul Bethel practices in Tahlequah, OK and has the professional credentials of CCMA. The NPI Number for Payden Paul Bethel is 1962184960 and holds a License No. (Oklahoma).

The current practice location address for Payden Paul Bethel is 1429 Jack Brown Lane, Tahlequah, OK and can be reached out via phone at 918-316-3000.

Location: 1429 Jack Brown Lane, Tahlequah, OK, 74464-2185
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962184960
Provider Name
Payden Paul Bethel
Credential
CCMA
Provider Entity Type
Individual
Gender
Male
Address
1429 Jack Brown Lane, Tahlequah, OK, 74464-2185
Phone Number
918-316-3000
Fax Number
Provider Enumeration Date
08/01/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1429 Jack Brown Lane
City
Tahlequah
State
Oklahoma
Zip
74464
Phone Number
918-316-3000
Fax Number
person
Provider Business Mailing Address Details
Address
1429 Jack Brown Lane
City
Tahlequah
State
Oklahoma
Zip
74464
Phone Number
918-316-3000
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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