Individual provider · Type 1 NPI

Steven Jacob Fishinghawk

Peer Specialist · Tahlequah, OK

NPI number 1104656172 Active

Practice location

118 W Keetoowah St
Tahlequah, OK 74464-3820

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: 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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About NPI 1104656172

Steven Jacob Fishinghawk's National Provider Identifier is 1104656172, issued on Aug 5, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tahlequah, OK. The record was last updated on Aug 5, 2024.