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Jennie Shae Washington
Peer Specialist in Tahlequah, Oklahoma
NPI 1144956681

Jennie Shae Washington is a Peer Specialist based in Park Hill, OK. Jennie Shae Washington practices in Tahlequah, OK. The NPI Number for Jennie Shae Washington is 1144956681 and holds a License No. (Oklahoma).

The current practice location address for Jennie Shae Washington is 1323 W Keetoowah St, Tahlequah, OK and can be reached out via phone at 918-506-6901.

Location: 1323 W Keetoowah St, Tahlequah, OK, 74451-3015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144956681
Provider Name
Jennie Shae Washington
Credential
Provider Entity Type
Individual
Gender
Female
Address
1323 W Keetoowah St, Tahlequah, OK, 74451-3015
Phone Number
918-506-6901
Fax Number
Provider Enumeration Date
07/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1323 W Keetoowah St
City
Tahlequah
State
Oklahoma
Zip
74464-3462
Phone Number
918-506-6901
Fax Number
person
Provider Business Mailing Address Details
Address
1323 W Keetoowah St
City
Tahlequah
State
Oklahoma
Zip
74464-3462
Phone Number
918-506-6901
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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