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Earl Anthony Fuqua
Peer Specialist in Bartlesville, Oklahoma
NPI 1184490468

Earl Anthony Fuqua is a Peer Specialist based in Bartlesville, OK. Earl Anthony Fuqua practices in Bartlesville, OK. The NPI Number for Earl Anthony Fuqua is 1184490468 and holds a License No. (Oklahoma).

The current practice location address for Earl Anthony Fuqua is 700 S Penn Ave, Bartlesville, OK and can be reached out via phone at 844-458-2100. You can also correspond with Earl Anthony Fuqua through the mailing address at 700 S PENN AVE, BARTLESVILLE, OK - 74003-3847 (mailing address contact number: ).

Location: 700 S Penn Ave, Bartlesville, OK, 74003-3847
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184490468
Provider Name
Earl Anthony Fuqua
Credential
Provider Entity Type
Individual
Gender
Male
Address
700 S Penn Ave, Bartlesville, OK, 74003-3847
Phone Number
844-458-2100
Fax Number
Provider Enumeration Date
11/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
700 S Penn Ave
City
Bartlesville
State
Oklahoma
Zip
74003-3847
Phone Number
844-458-2100
Fax Number
person
Provider Business Mailing Address Details
Address
700 S Penn Ave
City
Bartlesville
State
Oklahoma
Zip
74003-3847
Phone Number
844-458-2100
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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