Ethan Wayne Hancock
Ethan Wayne Hancock is a Peer Specialist in Moore, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2026.
- Licensed in
- OK
- In the registry since
- 2026
Practice location Address checks out
2617 Ethan LnMoore, OK 73160-2390
Phone: (918) 549-8739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (OK) |
|---|
Record details
| NPI number | 1861334294 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 6, 2026 |
| Last updated in NPPES | April 6, 2026 |
| Certification date | April 6, 2026 |
| Mailing address | 2617 Ethan Ln, Moore, OK 73160-2390 |
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