Organization · Type 2 NPI

Northeastern Health System

Addiction (Substance Use Disorder) Counselor · Tahlequah, OK

NPI number 1689338519 Active

Practice location

1323 W Keetoowah St
Tahlequah, OK 74464-3462

Mailing address

PO Box 1008
Tahlequah, OK 74465-1008

Other practice locations

  • 215 NE 1st St Ste B, Wagoner, OK 74467-4439 · (918) 931-3890

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1689338519

Northeastern Health System's National Provider Identifier is 1689338519, issued on Oct 27, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tahlequah, OK. The record was last updated on Nov 7, 2024.