MACKENZIE WASHA
Peer Specialist
Active
Individual
NPI: 1194304451
Practice Address
100 RED MOON CIRCLETRIBAL OPIOID RESPONSE PROJECT
Concho, OK 73022
Phone: (405) 422-7452
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Peer Specialist | 175T00000X | Yes | D083324170 (OK) |
Frequently Asked Questions
NPI 1194304451 is the National Provider Identifier for MACKENZIE WASHA, a Peer Specialist provider located in Concho, OK. This NPI was enumerated on April 5, 2021.
MACKENZIE WASHA practices at 100 RED MOON CIRCLE, TRIBAL OPIOID RESPONSE PROJECT, Concho, OK 73022.
Quick Facts
- NPI
- 1194304451
- Type
- Individual
- Enumerated
- Apr 5, 2021
- Last Updated
- Apr 5, 2021
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