Individual
NIESA CHEYENNE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1313 N 4170 RD, HUGO, OK 74743-8517
(469) 794-8693
Mailing address
601 E JACKSON ST, HUGO, OK 74743-4024
(580) 326-7531
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
06/19/2023
Last updated
09/19/2023
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