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Brett James Gillum
Peer Specialist in Tahlequah, Oklahoma
NPI 1124806203

Brett James Gillum is a Peer Specialist based in Tahlequah, OK. Brett James Gillum practices in Tahlequah, OK. The NPI Number for Brett James Gillum is 1124806203 and holds a License No. (Oklahoma).

The current practice location address for Brett James Gillum is 118 W Keetoowah St, Tahlequah, OK and can be reached out via phone at 918-708-9474. You can also correspond with Brett James Gillum through the mailing address at 118 W KEETOOWAH ST, TAHLEQUAH, OK - 74464-3820 (mailing address contact number: 918-708-9474).

Location: 118 W Keetoowah St, Tahlequah, OK, 74464-3820
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124806203
Provider Name
Brett James Gillum
Credential
Provider Entity Type
Individual
Gender
Male
Address
118 W Keetoowah St, Tahlequah, OK, 74464-3820
Phone Number
918-708-9474
Fax Number
Provider Enumeration Date
09/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
118 W Keetoowah St
City
Tahlequah
State
Oklahoma
Zip
74464-3820
Phone Number
918-708-9474
Fax Number
person
Provider Business Mailing Address Details
Address
118 W Keetoowah St
City
Tahlequah
State
Oklahoma
Zip
74464-3820
Phone Number
918-708-9474
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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