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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GABRIEL BLAKE JOHNSON

Active Sole Proprietor

GABRIEL BLAKE JOHNSON is a Peer Specialist healthcare provider located in TAHLEQUAH, Oklahoma. NPI 1962271155 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · TAHLEQUAH, OK

Registration Details

NPI Number
1962271155
Provider Type
Individual
Gender
Male
NPI Issued
Dec 28, 2023 (2.6362864530628 yrs)
Last Updated
Dec 28, 2023
Sole Proprietor
Yes

Practice Information

Address
214 N BLISS AVE
TAHLEQUAH, OK, 744642520
Browse OK providers · Browse ZIP 74464
Phone
5392343785
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in TAHLEQUAH, OK

Name Credential NPI
JEROMY MICHAEL KLINGER MS 1063921468
CELESTE MOORE 1124590260
HEATHER MARIE ASKEW 1700349883
AELICIA FRAN GREEN 1366097636
MRS. MILLISSA KAE ROBINSON 1902403702
MS. MONICA L RYALS BS 1831771120
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.