Kelly Ann Hearn is a Peer Specialist based in Choctaw, OK. Kelly Ann Hearn practices in Choctaw, OK. The NPI Number for Kelly Ann Hearn is 1053080556 and holds a License No. (Oklahoma).
The current practice location address for Kelly Ann Hearn is 14625 Ne 23Rd St, Choctaw, OK and can be reached out via phone at 405-390-8131.
Location: 14625 Ne 23Rd St, Choctaw, OK, 73020-0695
Provider Profile Details
NPI Number
1053080556
Provider Name
Kelly Ann Hearn
Credential
Provider Entity Type
Individual
Gender
Female
Address
14625 Ne 23Rd St, Choctaw, OK, 73020-0695
Phone Number
405-390-8131
Fax Number
Provider Enumeration Date
09/08/2021
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
14625 Ne 23Rd St
City
State
Zip
73020-8728
Phone Number
405-390-8131
Fax Number
Provider Business Mailing Address Details
Address
14625 Ne 23Rd St
City
State
Zip
73020-8728
Phone Number
405-390-8131
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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