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Tatiana A Wilson
Peer Specialist in Bartlesville, Oklahoma
NPI 1043847676

Tatiana A Wilson is a Peer Specialist based in Bartlesville, OK. Tatiana A Wilson practices in Bartlesville, OK. The NPI Number for Tatiana A Wilson is 1043847676 and holds a License No. (Oklahoma).

The current practice location address for Tatiana A Wilson is 504 S Cherokee Ave, Bartlesville, OK and can be reached out via phone at 918-876-4046.

Location: 504 S Cherokee Ave, Bartlesville, OK, 74003-6140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043847676
Provider Name
Tatiana A Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
504 S Cherokee Ave, Bartlesville, OK, 74003-6140
Phone Number
918-876-4046
Fax Number
Provider Enumeration Date
03/24/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W2K08233825W 01 OK BLUECROSS BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
504 S Cherokee Ave
City
Bartlesville
State
Oklahoma
Zip
74003-3625
Phone Number
918-876-4046
Fax Number
person
Provider Business Mailing Address Details
Address
504 S Cherokee Ave
City
Bartlesville
State
Oklahoma
Zip
74003-3625
Phone Number
918-876-4046
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
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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