person
William Jackson Ely
Peer Specialist in Tulsa, Oklahoma
NPI 1134995046

William Jackson Ely is a Peer Specialist based in Claremore, OK. William Jackson Ely practices in Tulsa, OK. The NPI Number for William Jackson Ely is 1134995046 and holds a License No. (Oklahoma).

The current practice location address for William Jackson Ely is 7477 E 46Th Pl, Tulsa, OK and can be reached out via phone at 918-384-0002.

Location: 7477 E 46Th Pl, Tulsa, OK, 74019-3713
person
Provider Profile Details
NPI Number
1134995046
Provider Name
William Jackson Ely
Credential
Provider Entity Type
Individual
Gender
Male
Address
7477 E 46Th Pl, Tulsa, OK, 74019-3713
Phone Number
918-384-0002
Fax Number
Provider Enumeration Date
12/01/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7477 E 46Th Pl
City
State
Zip
74145-6305
Phone Number
918-384-0002
Fax Number
person
Provider Business Mailing Address Details
Address
7477 E 46Th Pl
City
State
Zip
74145-6305
Phone Number
918-384-0002
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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