person
Clarence Russell Smith, MSW
Peer Specialist in Oklahoma City, Oklahoma
NPI 1104434638

Clarence Russell Smith is a Peer Specialist based in Oklahoma City, OK. Clarence Russell Smith practices in Oklahoma City, OK and has the professional credentials of MSW. The NPI Number for Clarence Russell Smith is 1104434638 and holds a License No. (Oklahoma).

The current practice location address for Clarence Russell Smith is 1311 N Lottie Ave, Oklahoma City, OK and can be reached out via phone at 405-600-3074 and via fax at 405-605-8120.

Location: 1311 N Lottie Ave, Oklahoma City, OK, 73117-2051
person
Provider Profile Details
NPI Number
1104434638
Provider Name
Clarence Russell Smith
Credential
MSW
Provider Entity Type
Individual
Gender
Male
Address
1311 N Lottie Ave, Oklahoma City, OK, 73117-2051
Phone Number
405-600-3074
Fax Number
405-605-8120
Provider Enumeration Date
07/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1311 N Lottie Ave
City
State
Zip
73117-2051
Phone Number
405-600-3074
Fax Number
405-605-8120
person
Provider Business Mailing Address Details
Address
1311 N Lottie Ave
City
State
Zip
73117-2051
Phone Number
405-600-3074
Fax Number
405-605-8120
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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