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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. You can also correspond with James Glenn Matthews through the mailing address at 1201 W WALLACE DR, ENID, OK - 73703-7912 (mailing address contact number: 580-231-8915).

Location: 1824 S Van Buren St, Enid, OK, 73703-7912
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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
State
Zip
73703-7903
Phone Number
405-230-1181
Fax Number
person
Provider Business Mailing Address Details
Address
1201 W Wallace Dr
City
State
Zip
73703-7912
Phone Number
580-231-8915
Fax Number
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Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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