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Kimberly Dawn Green
Peer Specialist in Jay, Oklahoma
NPI 1134711765

Kimberly Dawn Green is a Peer Specialist based in Grove, OK. Kimberly Dawn Green practices in Jay, OK. The NPI Number for Kimberly Dawn Green is 1134711765 and holds a License No. (Oklahoma).

The current practice location address for Kimberly Dawn Green is 1015 W Washbourne St, Jay, OK and can be reached out via phone at 918-273-1841.

Location: 1015 W Washbourne St, Jay, OK, 74344-6654
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134711765
Provider Name
Kimberly Dawn Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
1015 W Washbourne St, Jay, OK, 74344-6654
Phone Number
918-273-1841
Fax Number
Provider Enumeration Date
02/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1015 W Washbourne St
City
Jay
State
Oklahoma
Zip
74346-4205
Phone Number
918-273-1841
Fax Number
person
Provider Business Mailing Address Details
Address
1015 W Washbourne St
City
Jay
State
Oklahoma
Zip
74346-4205
Phone Number
918-273-1841
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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