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Jennie Gayle Sides
Peer Specialist in Durham, Oklahoma
NPI 1073905626

Jennie Gayle Sides is a Peer Specialist based in Durham, OK. Jennie Gayle Sides practices in Durham, OK. The NPI Number for Jennie Gayle Sides is 1073905626 and holds a License No. (Oklahoma).

The current practice location address for Jennie Gayle Sides is 8109 Highway 30, Durham, OK and can be reached out via phone at 580-799-7746.

Location: 8109 Highway 30, Durham, OK, 73642-4256
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073905626
Provider Name
Jennie Gayle Sides
Credential
Provider Entity Type
Individual
Gender
Female
Address
8109 Highway 30, Durham, OK, 73642-4256
Phone Number
580-799-7746
Fax Number
Provider Enumeration Date
02/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8109 Highway 30
City
Durham
State
Oklahoma
Zip
73642-4256
Phone Number
580-799-7746
Fax Number
person
Provider Business Mailing Address Details
Address
8109 Highway 30
City
Durham
State
Oklahoma
Zip
73642-4256
Phone Number
580-799-7746
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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