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Jennifer Leeann Richardson
Peer Specialist in Seminole, Oklahoma
NPI 1104396266

Jennifer Leeann Richardson is a Peer Specialist based in Wewoka, OK. Jennifer Leeann Richardson practices in Seminole, OK. The NPI Number for Jennifer Leeann Richardson is 1104396266 and holds a License No. (Oklahoma).

The current practice location address for Jennifer Leeann Richardson is 35859 E.w. 1210, Seminole, OK and can be reached out via phone at 405-220-6207.

Location: 35859 E.w. 1210, Seminole, OK, 74884-3243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104396266
Provider Name
Jennifer Leeann Richardson
Credential
Provider Entity Type
Individual
Gender
Female
Address
35859 E.w. 1210, Seminole, OK, 74884-3243
Phone Number
405-220-6207
Fax Number
Provider Enumeration Date
12/03/2018
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
35859 E.w. 1210
City
Seminole
State
Oklahoma
Zip
74868
Phone Number
405-220-6207
Fax Number
person
Provider Business Mailing Address Details
Address
35859 E.w. 1210
City
Seminole
State
Oklahoma
Zip
74868
Phone Number
405-220-6207
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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