person
Kdedra Martin
Peer Specialist in Oklahoma City, Oklahoma
NPI 1124508262

Kdedra Martin is a Peer Specialist based in Oklahoma City, OK. Kdedra Martin practices in Oklahoma City, OK. The NPI Number for Kdedra Martin is 1124508262 and holds a License No. (Oklahoma).

The current practice location address for Kdedra Martin is 5517 Evanbrook Terrace, Oklahoma City, OK and can be reached out via phone at 405-738-8662. You can also correspond with Kdedra Martin through the mailing address at 4400 N LINCOLN BLVD, OKLAHOMA CITY, OK - 73105-5104 (mailing address contact number: 405-425-0364).

Location: 5517 Evanbrook Terrace, Oklahoma City, OK, 73105-5104
person
Provider Profile Details
NPI Number
1124508262
Provider Name
Kdedra Martin
Credential
Provider Entity Type
Individual
Gender
Female
Address
5517 Evanbrook Terrace, Oklahoma City, OK, 73105-5104
Phone Number
405-738-8662
Fax Number
Provider Enumeration Date
08/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5517 Evanbrook Terrace
City
State
Zip
73135-1523
Phone Number
405-738-8662
Fax Number
person
Provider Business Mailing Address Details
Address
5517 Evanbrook Terrace
City
State
Zip
73135-1523
Phone Number
405-738-8662
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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