person
Jacalyn R Tidwell
Peer Specialist in Tulsa, Oklahoma
NPI 1093316457

Jacalyn R Tidwell is a Peer Specialist based in Tulsa, OK. Jacalyn R Tidwell practices in Tulsa, OK. The NPI Number for Jacalyn R Tidwell is 1093316457 and holds a License No. (Oklahoma).

The current practice location address for Jacalyn R Tidwell is 5310 E 31St St Ste 600, Tulsa, OK and can be reached out via phone at 918-587-9471.

Location: 5310 E 31St St Ste 600, Tulsa, OK, 74135-5018
person
Provider Profile Details
NPI Number
1093316457
Provider Name
Jacalyn R Tidwell
Credential
Provider Entity Type
Individual
Gender
Female
Address
5310 E 31St St Ste 600, Tulsa, OK, 74135-5018
Phone Number
918-587-9471
Fax Number
Provider Enumeration Date
11/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5310 E 31St St Ste 600
City
State
Zip
74135-5018
Phone Number
918-587-9471
Fax Number
person
Provider Business Mailing Address Details
Address
5310 E 31St St Ste 600
City
State
Zip
74135-5018
Phone Number
918-587-9471
Fax Number
person
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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