AUDREY JUNE HALFACRE BS MHA NPI 1679105068

NPI Information

NPI: 1679105068
Provider Name: AUDREY JUNE HALFACRE, BS, MHA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
4803 RIDGE ST
TAHLEQUAH, OK
ZIP 74464
Phone: (918) 316-0130
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Audrey June Halfacre, BS, MHA is an addiction (substance use disorder) counselor in Tahlequah, OK. Audrey June Halfacre, BS, MHA NPI is 1679105068. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4803 RIDGE ST
TAHLEQUAH, OK
ZIP 74464-644
Phone: (918) 316-0130

The enumeration date for this NPI number is 2/4/2020 and was last updated on 1/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)		OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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