Individual provider · Type 1 NPI

Dominque Latreace Wathan, CMII, BHWC

Case Manager/Care Coordinator · Shawnee, OK

NPI number 1992349427 Active

Practice location

111 W. 1st St
Shawnee, OK 74804-2202

Call (405) 273-1170 Map

Fax (405) 241-6447

Mailing address

111 W 1st St
Chandler, OK 74834-2004

Specialties and licenses

Taxonomy	Code	License
Peer Specialist	175T00000X	None listed
Case Manager/Care Coordinator Primary	171M00000X	None listed

Case Manager/Care Coordinator: A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-e…

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About NPI 1992349427

Dominque Latreace Wathan, CMII, BHWC's National Provider Identifier is 1992349427, issued on Oct 28, 2019. The primary taxonomy on file is Case Manager/Care Coordinator (171M00000X), and the practice location is in Shawnee, OK. The record was last updated on Mar 4, 2025.