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Mr. Brian Shipley JR.
Peer Specialist in Tahlequah, Oklahoma
NPI 1093404311

Brian Shipley JR. is a Peer Specialist based in Tahlequah, OK. Brian Shipley JR. practices in Tahlequah, OK. The NPI Number for Brian Shipley JR. is 1093404311 and holds a License No. (Oklahoma).

The current practice location address for Brian Shipley JR. is 1106 Hillcrest Ave, Tahlequah, OK and can be reached out via phone at 918-506-0851.

Location: 1106 Hillcrest Ave, Tahlequah, OK, 74464-4610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093404311
Provider Name
Brian Shipley JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1106 Hillcrest Ave, Tahlequah, OK, 74464-4610
Phone Number
918-506-0851
Fax Number
Provider Enumeration Date
05/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1106 Hillcrest Ave
City
Tahlequah
State
Oklahoma
Zip
74464-4610
Phone Number
918-506-0851
Fax Number
person
Provider Business Mailing Address Details
Address
1106 Hillcrest Ave
City
Tahlequah
State
Oklahoma
Zip
74464-4610
Phone Number
918-506-0851
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Oklahoma)
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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