JACOB HISELEY, PRSS, LMSW, U/S

Social Worker

Active Individual
NPI: 1821583402

Practice Address

1640 W KEETOOWAH ST
Tahlequah, OK 74464

Phone: (918) 708-9009

Specialties

Specialty Code Primary License
Social Worker 104100000X Yes 20902 (OK)
Peer Specialist 175T00000X No 130888 (OK)

Frequently Asked Questions

NPI 1821583402 is the National Provider Identifier for JACOB HISELEY, PRSS, LMSW, U/S, a Social Worker provider located in Tahlequah, OK. This NPI was enumerated on June 26, 2018.
JACOB HISELEY, PRSS, LMSW, U/S practices at 1640 W KEETOOWAH ST, Tahlequah, OK 74464.

Quick Facts

NPI
1821583402
Type
Individual
Enumerated
Jun 26, 2018
Last Updated
Dec 29, 2025

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