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Abraham Colson Bearpaw
Peer Specialist in Wagoner, Oklahoma
NPI 1972201622

Abraham Colson Bearpaw is a Peer Specialist based in Wagoner, OK. Abraham Colson Bearpaw practices in Wagoner, OK. The NPI Number for Abraham Colson Bearpaw is 1972201622 and holds a License No. (Oklahoma).

The current practice location address for Abraham Colson Bearpaw is 902 Martin Luther King Blvd, Wagoner, OK and can be reached out via phone at 918-316-8180.

Location: 902 Martin Luther King Blvd, Wagoner, OK, 74467-6928
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972201622
Provider Name
Abraham Colson Bearpaw
Credential
Provider Entity Type
Individual
Gender
Male
Address
902 Martin Luther King Blvd, Wagoner, OK, 74467-6928
Phone Number
918-316-8180
Fax Number
Provider Enumeration Date
02/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
902 Martin Luther King Blvd
City
Wagoner
State
Oklahoma
Zip
74467-6928
Phone Number
918-316-8180
Fax Number
person
Provider Business Mailing Address Details
Address
902 Martin Luther King Blvd
City
Wagoner
State
Oklahoma
Zip
74467-6928
Phone Number
918-316-8180
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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