Mary Michelle Moon - Oklahoma City, OK

Mary Michelle Moon

Peer Specialist in Oklahoma City, Oklahoma

NPI 1144784745

Mary Michelle Moon is a Peer Specialist based in Oklahoma City, OK. Mary Michelle Moon practices in Oklahoma City, OK. The NPI Number for Mary Michelle Moon is 1144784745 and holds a License No. (Oklahoma).

The current practice location address for Mary Michelle Moon is 4728 Nw 23Rd St Apt 4, Oklahoma City, OK and can be reached out via phone at 405-589-2100.

Location: 4728 Nw 23Rd St Apt 4, Oklahoma City, OK, 73127-2191

NPI Number

1144784745

Provider Name

Mary Michelle Moon

Credential

Provider Entity Type

Individual

Gender

Female

Address

4728 Nw 23Rd St Apt 4, Oklahoma City, OK, 73127-2191

Phone Number

405-589-2100

Fax Number

Provider Enumeration Date

01/28/2019

Last Update Date

03/10/2024

Address

4728 Nw 23Rd St Apt 4

City

Oklahoma City

State

Oklahoma

Zip

73127-2191

Phone Number

405-589-2100

Fax Number

Address

4728 Nw 23Rd St Apt 4

City

Oklahoma City

State

Oklahoma

Zip

73127-2191

Phone Number

405-589-2100

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

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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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