Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeastern Health System

Organization Addiction (Substance Use Disorder) Counselor · NPI 1689338519

Northeastern Health System is an Addiction (Substance Use Disorder) Counselor in Tahlequah, Oklahoma. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1323 W Keetoowah St
Tahlequah, OK 74464-3462
Phone: (918) 506-6901
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 215 Ne 1st St Ste B, Wagoner, OK 74467-4439 — (918) 931-3890

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1689338519
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jackie Hullinger — Vp Of Revenue Cycle · (918) 458-2417
NPI enumeratedOctober 27, 2021
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024
Mailing addressPo Box 1008, Tahlequah, OK 74465-1008

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