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Larry Mcbride
Peer Specialist in Ardmore, Oklahoma
NPI 1174041297

Larry Mcbride is a Peer Specialist based in Marietta, OK. Larry Mcbride practices in Ardmore, OK. The NPI Number for Larry Mcbride is 1174041297 and holds a License No. (Oklahoma).

The current practice location address for Larry Mcbride is 1219 K St Nw, Ardmore, OK and can be reached out via phone at 580-798-4523 and via fax at 580-319-5349. You can also correspond with Larry Mcbride through the mailing address at 508 MAYALL ST, MARIETTA, OK - 73448-4206 (mailing address contact number: 580-798-4523).

Location: 1219 K St Nw, Ardmore, OK, 73448-4206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174041297
Provider Name
Larry Mcbride
Credential
Provider Entity Type
Individual
Gender
Male
Address
1219 K St Nw, Ardmore, OK, 73448-4206
Phone Number
580-798-4523
Fax Number
580-319-5349
Provider Enumeration Date
09/08/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1219 K St Nw
City
Ardmore
State
Oklahoma
Zip
73401-1801
Phone Number
580-798-4523
Fax Number
580-319-5349
person
Provider Business Mailing Address Details
Address
508 Mayall St
City
Marietta
State
Oklahoma
Zip
73448-4206
Phone Number
580-798-4523
Fax Number
580-319-5349
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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