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Michael Ray Richardson
Peer Specialist in Lawton, Oklahoma
NPI 1023694619

Michael Ray Richardson is a Peer Specialist based in Lawton, OK. Michael Ray Richardson practices in Lawton, OK. The NPI Number for Michael Ray Richardson is 1023694619 and holds a License No. (Oklahoma).

The current practice location address for Michael Ray Richardson is 2353 W Gore Blvd, Lawton, OK and can be reached out via phone at 580-595-1919.

Location: 2353 W Gore Blvd, Lawton, OK, 73505-0827
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023694619
Provider Name
Michael Ray Richardson
Credential
Provider Entity Type
Individual
Gender
Male
Address
2353 W Gore Blvd, Lawton, OK, 73505-0827
Phone Number
580-595-1919
Fax Number
Provider Enumeration Date
03/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2353 W Gore Blvd
City
Lawton
State
Oklahoma
Zip
73505-6301
Phone Number
580-595-1919
Fax Number
person
Provider Business Mailing Address Details
Address
2353 W Gore Blvd
City
Lawton
State
Oklahoma
Zip
73505-6301
Phone Number
580-595-1919
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Oklahoma)
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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