Individual provider · Type 1 NPI

Ray Tainpeah

Addiction (Substance Use Disorder) Counselor · Shawnee, OK

NPI number 1417159690 Active

Practice location

2307 S Gordon Cooper Dr
Shawnee, OK 74801-9007

Call (405) 273-5236 Map

Mailing address

PO Box 417
Prague, OK 74864-0417

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X472 (OK)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1417159690

Ray Tainpeah's National Provider Identifier is 1417159690, issued on Jun 1, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shawnee, OK. The record was last updated on Jul 8, 2007.