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James Glenn Matthews
Peer Specialist in Enid, Oklahoma
NPI 1184222309

James Glenn Matthews is a Peer Specialist based in Enid, OK. James Glenn Matthews practices in Enid, OK. The NPI Number for James Glenn Matthews is 1184222309 and holds a License No. 1215150644 (Oklahoma).

The current practice location address for James Glenn Matthews is 1824 S Van Buren St, Enid, OK and can be reached out via phone at 405-230-1181.

Location: 1824 S Van Buren St, Enid, OK, 73703-7912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184222309
Provider Name
James Glenn Matthews
Credential
Provider Entity Type
Individual
Gender
Male
Address
1824 S Van Buren St, Enid, OK, 73703-7912
Phone Number
405-230-1181
Fax Number
Provider Enumeration Date
10/09/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
V083161617 01 OK DRIVER ID
institution
Provider Business Practice Location Address Details
Address
1824 S Van Buren St
City
Enid
State
Oklahoma
Zip
73703-7903
Phone Number
405-230-1181
Fax Number
person
Provider Business Mailing Address Details
Address
1824 S Van Buren St
City
Enid
State
Oklahoma
Zip
73703-7903
Phone Number
405-230-1181
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
1215150644 (Oklahoma)
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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