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Walter John Hendrix
Peer Specialist in Lawton, Oklahoma
NPI 1982346136

Walter John Hendrix is a Peer Specialist based in Lawton, OK. Walter John Hendrix practices in Lawton, OK. The NPI Number for Walter John Hendrix is 1982346136 and holds a License No. (Oklahoma).

The current practice location address for Walter John Hendrix is 1202 Sw A Ave, Lawton, OK and can be reached out via phone at 580-917-9765.

Location: 1202 Sw A Ave, Lawton, OK, 73501-3819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982346136
Provider Name
Walter John Hendrix
Credential
Provider Entity Type
Individual
Gender
Male
Address
1202 Sw A Ave, Lawton, OK, 73501-3819
Phone Number
580-917-9765
Fax Number
Provider Enumeration Date
04/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1202 Sw A Ave
City
Lawton
State
Oklahoma
Zip
73501-3821
Phone Number
580-917-9765
Fax Number
person
Provider Business Mailing Address Details
Address
1202 Sw A Ave
City
Lawton
State
Oklahoma
Zip
73501-3821
Phone Number
580-917-9765
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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