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Shenita R Jefferson
Peer Specialist in Edmond, Oklahoma
NPI 1194221242

Shenita R Jefferson is a Peer Specialist based in Edmond, OK. Shenita R Jefferson practices in Edmond, OK. The NPI Number for Shenita R Jefferson is 1194221242 and holds a License No. (Oklahoma).

The current practice location address for Shenita R Jefferson is 700 Parkhurst Ter, Edmond, OK and can be reached out via phone at 405-822-3995.

Location: 700 Parkhurst Ter, Edmond, OK, 73012-6600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194221242
Provider Name
Shenita R Jefferson
Credential
Provider Entity Type
Individual
Gender
Female
Address
700 Parkhurst Ter, Edmond, OK, 73012-6600
Phone Number
405-822-3995
Fax Number
Provider Enumeration Date
04/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
700 Parkhurst Ter
City
Edmond
State
Oklahoma
Zip
73003-5062
Phone Number
405-822-3995
Fax Number
person
Provider Business Mailing Address Details
Address
700 Parkhurst Ter
City
Edmond
State
Oklahoma
Zip
73003-5062
Phone Number
405-822-3995
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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