person
Bryan Lee Eissaah Smith
Peer Specialist in Stillwater, Oklahoma
NPI 1104688308

Bryan Lee Eissaah Smith is a Peer Specialist based in Stillwater, OK. Bryan Lee Eissaah Smith practices in Stillwater, OK. The NPI Number for Bryan Lee Eissaah Smith is 1104688308 and holds a License No. (Oklahoma).

The current practice location address for Bryan Lee Eissaah Smith is 1624 Cimarron Plz, Stillwater, OK and can be reached out via phone at 844-458-2100.

Location: 1624 Cimarron Plz, Stillwater, OK, 74075-3467
person
Provider Profile Details
NPI Number
1104688308
Provider Name
Bryan Lee Eissaah Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
1624 Cimarron Plz, Stillwater, OK, 74075-3467
Phone Number
844-458-2100
Fax Number
Provider Enumeration Date
01/24/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1624 Cimarron Plz
City
State
Zip
74075-3467
Phone Number
844-458-2100
Fax Number
person
Provider Business Mailing Address Details
Address
1624 Cimarron Plz
City
State
Zip
74075-3467
Phone Number
844-458-2100
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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