Jeannie Long is a Peer Specialist based in Waynoka, OK. Jeannie Long practices in Waynoka, OK. The NPI Number for Jeannie Long is 1164904710 and holds a License No. (Oklahoma).
The current practice location address for Jeannie Long is 1095 Nickerson St, Waynoka, OK and can be reached out via phone at 580-824-0674.
Location: 1095 Nickerson St, Waynoka, OK, 73860-0135
Provider Profile Details
NPI Number
1164904710
Provider Name
Jeannie Long
Credential
Provider Entity Type
Individual
Gender
Female
Address
1095 Nickerson St, Waynoka, OK, 73860-0135
Phone Number
580-824-0674
Fax Number
Provider Enumeration Date
08/30/2018
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1095 Nickerson St
City
State
Zip
73860-1252
Phone Number
580-824-0674
Fax Number
Provider Business Mailing Address Details
Address
1095 Nickerson St
City
State
Zip
73860-1252
Phone Number
580-824-0674
Fax Number
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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