Shane Soudek is a Peer Specialist based in Edmond, OK. Shane Soudek practices in Edmond, OK. The NPI Number for Shane Soudek is 1063293033 and holds a License No. (Oklahoma).
The current practice location address for Shane Soudek is 1007 Crown Dr, Edmond, OK and can be reached out via phone at 405-368-7229.
Location: 1007 Crown Dr, Edmond, OK, 73034-5535
Provider Profile Details
NPI Number
1063293033
Provider Name
Shane Soudek
Credential
Provider Entity Type
Individual
Gender
Male
Address
1007 Crown Dr, Edmond, OK, 73034-5535
Phone Number
405-368-7229
Fax Number
Provider Enumeration Date
10/06/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1007 Crown Dr
City
State
Zip
73034-5535
Phone Number
405-368-7229
Fax Number
Provider Business Mailing Address Details
Address
1007 Crown Dr
City
State
Zip
73034-5535
Phone Number
405-368-7229
Fax Number
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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