Individual provider · Type 1 NPI

Steven Anderson Shade

Peer Specialist · Tahlequah, OK

NPI number 1326764705 Active

Practice location

1011 S Muskogee Ave
Tahlequah, OK 74464-4733

Mailing address

24230 E 751 Rd
Tahlequah, OK 74464-1809

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 1326764705

Steven Anderson Shade's National Provider Identifier is 1326764705, issued on Oct 17, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tahlequah, OK. The record was last updated on Oct 17, 2022.