Dustin Rose is a Peer Specialist based in Lexington, OK. Dustin Rose practices in Lexington, OK. The NPI Number for Dustin Rose is 1003572124 and holds a License No. (Oklahoma).
The current practice location address for Dustin Rose is 104 Owens St, Lexington, OK and can be reached out via phone at 405-837-5821.
Location: 104 Owens St, Lexington, OK, 73051-9572
Provider Profile Details
NPI Number
1003572124
Provider Name
Dustin Rose
Credential
Provider Entity Type
Individual
Gender
Male
Address
104 Owens St, Lexington, OK, 73051-9572
Phone Number
405-837-5821
Fax Number
Provider Enumeration Date
11/12/2021
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
104 Owens St
City
State
Zip
73051-9572
Phone Number
405-837-5821
Fax Number
Provider Business Mailing Address Details
Address
104 Owens St
City
State
Zip
73051-9572
Phone Number
405-837-5821
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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