Shane Wade Henley
Shane Wade Henley is a Peer Specialist in Stillwater, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1624 Cimarron PlzStillwater, OK 74075-3467
Phone: (844) 458-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1356121669 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 3, 2023 |
| Last updated in NPPES | December 30, 2023 |
| Certification date | December 30, 2023 |
| Mailing address | 1504 Shirlee Ave, Ponca City, OK 74604-1423 |
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