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Audrey Dietz
Peer Specialist in Tahlequah, Oklahoma
NPI 1184207078

Audrey Dietz is a Peer Specialist based in Tahlequah, OK. Audrey Dietz practices in Tahlequah, OK. The NPI Number for Audrey Dietz is 1184207078 and holds a License No. (Oklahoma).

The current practice location address for Audrey Dietz is 472 S State Ave, Tahlequah, OK and can be reached out via phone at 918-330-0671. You can also correspond with Audrey Dietz through the mailing address at 472 S STATE AVE, TAHLEQUAH, OK - 74464-4326 (mailing address contact number: 918-330-0671).

Location: 472 S State Ave, Tahlequah, OK, 74464-4326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184207078
Provider Name
Audrey Dietz
Credential
Provider Entity Type
Individual
Gender
Female
Address
472 S State Ave, Tahlequah, OK, 74464-4326
Phone Number
918-330-0671
Fax Number
Provider Enumeration Date
04/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
472 S State Ave
City
Tahlequah
State
Oklahoma
Zip
74464-4326
Phone Number
918-330-0671
Fax Number
person
Provider Business Mailing Address Details
Address
472 S State Ave
City
Tahlequah
State
Oklahoma
Zip
74464-4326
Phone Number
918-330-0671
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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