MEDICARE: CLARISSA ASHLYNN KOASSECHONY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1447940291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLARISSA ASHLYNN KOASSECHONY

Provider Business Mailing Address
First Line	:	1403 DORCHESTER DR
Second Line	:
City	:	NORMAN
State	:	OK
Zip	:	73069-7519
Country	:	US
Telephone Number	:	405-201-7079
Fax Number	:

Provider Business Practice Location Address
First Line	:	1403 DORCHESTER DR
Second Line	:
City	:	NORMAN
State	:	OK
Zip	:	73069-7519
Country	:	US
Telephone Number	:	405-201-7079
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2023
Last Update Date	:	06/25/2023

Similar Medicare Providers

1790227718 — NHU TRAN PHARM.D.
Practice Location Address:

1400 24TH AVE NW
NORMAN, OK
73069-6385

Practice Phone: 405-253-3001
Practice Fax:

1427544899 — AMBER FIELDS
Practice Location Address:

201 N BROADWAY ST
MOORE, OK
73160-5135

Practice Phone: 405-990-0816
Practice Fax:

1770423923 — MCKAYLA BATTEY
Practice Location Address:

2210 24TH AVE NW
NORMAN, OK
73069-6496

Practice Phone: 405-857-8280
Practice Fax:

1235079302 — NORMAN DRUG
Practice Location Address:

3217 24TH AVE. NW , SUITE 101
NORMAN, OK
73069

Practice Phone: 405-516-1617
Practice Fax: 405-516-1618

1114867116 — SUSAN BARNES
Practice Location Address:

1008 24TH AVE NW
NORMAN, OK
73069-6369

Practice Phone: 405-310-3262
Practice Fax:

1013857705 — RIDE CARE INC
Practice Location Address:

2402 WESTPORT DR
NORMAN, OK
73069-6336

Practice Phone: 800-690-4305
Practice Fax:

Directions to “ CLARISSA ASHLYNN KOASSECHONY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.