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Eleanor Mustachia
Peer Specialist in Del City, Oklahoma
NPI 1114782232

Eleanor Mustachia is a Peer Specialist based in Midwest City, OK. Eleanor Mustachia practices in Del City, OK. The NPI Number for Eleanor Mustachia is 1114782232 and holds a License No. (Oklahoma).

The current practice location address for Eleanor Mustachia is 1491 S Sunnylane Rd, Del City, OK and can be reached out via phone at 405-437-2240.

Location: 1491 S Sunnylane Rd, Del City, OK, 73130-3540
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114782232
Provider Name
Eleanor Mustachia
Credential
Provider Entity Type
Individual
Gender
Female
Address
1491 S Sunnylane Rd, Del City, OK, 73130-3540
Phone Number
405-437-2240
Fax Number
Provider Enumeration Date
02/19/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1491 S Sunnylane Rd
City
Del City
State
Oklahoma
Zip
73115-3037
Phone Number
405-437-2240
Fax Number
person
Provider Business Mailing Address Details
Address
1491 S Sunnylane Rd
City
Del City
State
Oklahoma
Zip
73115-3037
Phone Number
405-437-2240
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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