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Andra Rena' Thomas
Peer Specialist in Wagoner, Oklahoma
NPI 1104691393

Andra Rena' Thomas is a Peer Specialist based in Wagoner, OK. Andra Rena' Thomas practices in Wagoner, OK. The NPI Number for Andra Rena' Thomas is 1104691393 and holds a License No. (Oklahoma).

The current practice location address for Andra Rena' Thomas is 215 Ne 1St St, Wagoner, OK and can be reached out via phone at 918-201-4333.

Location: 215 Ne 1St St, Wagoner, OK, 74467-4439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104691393
Provider Name
Andra Rena' Thomas
Credential
Provider Entity Type
Individual
Gender
Female
Address
215 Ne 1St St, Wagoner, OK, 74467-4439
Phone Number
918-201-4333
Fax Number
Provider Enumeration Date
11/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
215 Ne 1St St
City
Wagoner
State
Oklahoma
Zip
74467-4439
Phone Number
918-201-4333
Fax Number
person
Provider Business Mailing Address Details
Address
215 Ne 1St St
City
Wagoner
State
Oklahoma
Zip
74467-4439
Phone Number
918-201-4333
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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