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John Edward Broome, PRSS
Peer Specialist in Talihina, Oklahoma
NPI 1063127199

John Edward Broome is a Peer Specialist based in Talihina, OK. John Edward Broome practices in Talihina, OK and has the professional credentials of PRSS. The NPI Number for John Edward Broome is 1063127199 and holds a License No. (Oklahoma).

The current practice location address for John Edward Broome is 13224 Se 202Nd Rd, Talihina, OK and can be reached out via phone at 918-567-7000 and via fax at 918-567-2417.

Location: 13224 Se 202Nd Rd, Talihina, OK, 74571-5866
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063127199
Provider Name
John Edward Broome
Credential
PRSS
Provider Entity Type
Individual
Gender
Male
Address
13224 Se 202Nd Rd, Talihina, OK, 74571-5866
Phone Number
918-567-7000
Fax Number
918-567-2417
Provider Enumeration Date
01/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13224 Se 202Nd Rd
City
Talihina
State
Oklahoma
Zip
74571-5866
Phone Number
918-567-7000
Fax Number
918-567-2417
person
Provider Business Mailing Address Details
Address
13224 Se 202Nd Rd
City
Talihina
State
Oklahoma
Zip
74571-5866
Phone Number
918-567-7000
Fax Number
918-567-2417
person
Provider's Taxonomy Details 1
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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