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Jeremy L Lothridge
Peer Specialist in Durant, Oklahoma
NPI 1073383840

Jeremy L Lothridge is a Peer Specialist based in Durant, OK. Jeremy L Lothridge practices in Durant, OK. The NPI Number for Jeremy L Lothridge is 1073383840 and holds a License No. (Oklahoma).

The current practice location address for Jeremy L Lothridge is 698 Westside Dr Ste 102, Durant, OK and can be reached out via phone at 580-924-7331 and via fax at 580-924-7334.

Location: 698 Westside Dr Ste 102, Durant, OK, 74701-3085
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073383840
Provider Name
Jeremy L Lothridge
Credential
Provider Entity Type
Individual
Gender
Male
Address
698 Westside Dr Ste 102, Durant, OK, 74701-3085
Phone Number
580-924-7331
Fax Number
580-924-7334
Provider Enumeration Date
01/03/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
698 Westside Dr Ste 102
City
Durant
State
Oklahoma
Zip
74701-3085
Phone Number
580-924-7331
Fax Number
580-924-7334
person
Provider Business Mailing Address Details
Address
698 Westside Dr Ste 102
City
Durant
State
Oklahoma
Zip
74701-3085
Phone Number
580-924-7331
Fax Number
580-924-7334
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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