Mitul Shah

NPI #1134938269 in Jenks, Oklahoma

Provider Information

NPI Number: 1134938269
Entity Type: Individual
Name: Mitul Shah
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jan 3, 2025
Last Updated: Jan 3, 2025

Practice Location

Address: 525 N VINE ST
City: Jenks
State: Oklahoma
ZIP Code: 74037-3471
Phone: (918) 269-0932

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Peer Specialist	175T00000X	Primary

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