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Alexandria Nina Moore
Peer Specialist in Stilwell, Oklahoma
NPI 1104496280

Alexandria Nina Moore is a Peer Specialist based in Tahlequah, OK. Alexandria Nina Moore practices in Stilwell, OK. The NPI Number for Alexandria Nina Moore is 1104496280 and holds a License No. (Oklahoma).

The current practice location address for Alexandria Nina Moore is 716 S 2Nd St Ste 101, Stilwell, OK and can be reached out via phone at 918-696-6212.

Location: 716 S 2Nd St Ste 101, Stilwell, OK, 74464-7955
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104496280
Provider Name
Alexandria Nina Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
716 S 2Nd St Ste 101, Stilwell, OK, 74464-7955
Phone Number
918-696-6212
Fax Number
Provider Enumeration Date
06/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
716 S 2Nd St Ste 101
City
Stilwell
State
Oklahoma
Zip
74960-4806
Phone Number
918-696-6212
Fax Number
person
Provider Business Mailing Address Details
Address
716 S 2Nd St Ste 101
City
Stilwell
State
Oklahoma
Zip
74960-4806
Phone Number
918-696-6212
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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