Individual
TRISTAN DANIEL HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10700 S CHOCTAW RD, NEWALLA, OK 74857-7962
(405) 301-3789
Mailing address
10700 S CHOCTAW RD, NEWALLA, OK 74857-7962
(918) 845-0147
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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