person
Justin Lynn Cicotte
Peer Specialist in Vinita, Oklahoma
NPI 1013577139

Justin Lynn Cicotte is a Peer Specialist based in Vinita, OK. Justin Lynn Cicotte practices in Vinita, OK. The NPI Number for Justin Lynn Cicotte is 1013577139 and holds a License No. (Oklahoma).

The current practice location address for Justin Lynn Cicotte is 405 E Excelsior Ave, Vinita, OK and can be reached out via phone at 918-256-6476 and via fax at 918-256-9890.

Location: 405 E Excelsior Ave, Vinita, OK, 74301
person
Provider Profile Details
NPI Number
1013577139
Provider Name
Justin Lynn Cicotte
Credential
Provider Entity Type
Individual
Gender
Male
Address
405 E Excelsior Ave, Vinita, OK, 74301
Phone Number
918-256-6476
Fax Number
918-256-9890
Provider Enumeration Date
06/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
405 E Excelsior Ave
City
State
Zip
74301-4226
Phone Number
918-256-6476
Fax Number
918-256-9890
person
Provider Business Mailing Address Details
Address
405 E Excelsior Ave
City
State
Zip
74301-4226
Phone Number
918-256-6476
Fax Number
918-256-9890
person
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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