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John David Land
Peer Specialist in Sapulpa, Oklahoma
NPI 1093110611

John David Land is a Peer Specialist based in Sapulpa, OK. John David Land practices in Sapulpa, OK. The NPI Number for John David Land is 1093110611 and holds a License No. (Oklahoma).

The current practice location address for John David Land is 4515 Edgewood, Sapulpa, OK and can be reached out via phone at 918-734-9890. You can also correspond with John David Land through the mailing address at 4515 EDGEWOOD, SAPULPA, OK - 74066 (mailing address contact number: ).

Location: 4515 Edgewood, Sapulpa, OK, 74066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093110611
Provider Name
John David Land
Credential
Provider Entity Type
Individual
Gender
Male
Address
4515 Edgewood, Sapulpa, OK, 74066
Phone Number
918-734-9890
Fax Number
Provider Enumeration Date
10/24/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4515 Edgewood
City
Sapulpa
State
Oklahoma
Zip
74066-8908
Phone Number
918-734-9890
Fax Number
person
Provider Business Mailing Address Details
Address
4515 Edgewood
City
Sapulpa
State
Oklahoma
Zip
74066
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
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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