Provider Demographics
NPI:1285139048
Name:NASH, STEVE (CADC)
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:
Last Name:NASH
Suffix:
Gender:M
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:CUSHING
Mailing Address - State:OK
Mailing Address - Zip Code:74023-4738
Mailing Address - Country:US
Mailing Address - Phone:918-223-6896
Mailing Address - Fax:
Practice Address - Street 1:821 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:CUSHING
Practice Address - State:OK
Practice Address - Zip Code:74023-4738
Practice Address - Country:US
Practice Address - Phone:918-223-6896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-26
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK110101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)