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.
Location: 472 S State Ave, Tahlequah, OK, 74464-4326
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
Provider Business Practice Location Address Details
Address
472 S State Ave
City
State
Zip
74464-4326
Phone Number
918-330-0671
Fax Number
Provider Business Mailing Address Details
Address
472 S State Ave
City
State
Zip
74464-4326
Phone Number
918-330-0671
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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