person
Mrs. Jena Raylynn-gwendolyn Lueking
Peer Specialist in Holdenville, Oklahoma
NPI 1174006050

Jena Raylynn-gwendolyn Lueking is a Peer Specialist based in Holdenville, OK. Jena Raylynn-gwendolyn Lueking practices in Holdenville, OK. The NPI Number for Jena Raylynn-gwendolyn Lueking is 1174006050 and holds a License No. (Oklahoma).

The current practice location address for Jena Raylynn-gwendolyn Lueking is 117 Rodgers Dr, Holdenville, OK and can be reached out via phone at 405-379-6668.

Location: 117 Rodgers Dr, Holdenville, OK, 74848-0590
person
Provider Profile Details
NPI Number
1174006050
Provider Name
Jena Raylynn-gwendolyn Lueking
Credential
Provider Entity Type
Individual
Gender
Female
Address
117 Rodgers Dr, Holdenville, OK, 74848-0590
Phone Number
405-379-6668
Fax Number
Provider Enumeration Date
09/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
117 Rodgers Dr
City
State
Zip
74848-2877
Phone Number
405-379-6668
Fax Number
person
Provider Business Mailing Address Details
Address
117 Rodgers Dr
City
State
Zip
74848-2877
Phone Number
405-379-6668
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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