Individual provider · Type 1 NPI

Ethan Jones

Peer Specialist · Tahlequah, OK

NPI number 1588568331 Active

Practice location

19600 E Ross St
Tahlequah, OK 74464-0545

Call (539) 234-3578 Map

Mailing address

14342 W 728 Rd
Tahlequah, OK 74464-0352

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 1588568331

Ethan Jones's National Provider Identifier is 1588568331, issued on Oct 6, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tahlequah, OK. The record was last updated on Oct 6, 2026.