person
Mr. Alan Keith Wilcoxson
Peer Specialist in Ponca City, Oklahoma
NPI 1114569738

Alan Keith Wilcoxson is a Peer Specialist based in Ponca City, OK. Alan Keith Wilcoxson practices in Ponca City, OK. The NPI Number for Alan Keith Wilcoxson is 1114569738 and holds a License No. (Oklahoma).

The current practice location address for Alan Keith Wilcoxson is 1801 Blackard Ln, Ponca City, OK and can be reached out via phone at 405-714-6010. You can also correspond with Alan Keith Wilcoxson through the mailing address at 1801 BLACKARD LN, PONCA CITY, OK - 74604-3512 (mailing address contact number: ).

Location: 1801 Blackard Ln, Ponca City, OK, 74604-3512
person
Provider Profile Details
NPI Number
1114569738
Provider Name
Alan Keith Wilcoxson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1801 Blackard Ln, Ponca City, OK, 74604-3512
Phone Number
405-714-6010
Fax Number
Provider Enumeration Date
10/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1801 Blackard Ln
City
State
Zip
74604-3512
Phone Number
405-714-6010
Fax Number
person
Provider Business Mailing Address Details
Address
1801 Blackard Ln
City
State
Zip
74604-3512
Phone Number
405-714-6010
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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