Justin Lee Taft

NPI #1316651516 in Jay, Oklahoma

Provider Information

NPI Number: 1316651516
Entity Type: Individual
Name: Justin Lee Taft
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jan 11, 2023
Last Updated: Jan 11, 2023

Practice Location

Address: 1015 W WASHBOURNE ST
City: Jay
State: Oklahoma
ZIP Code: 74346-4205
Phone: (844) 458-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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