person
Jennifer Janelle Lasiter
Peer Specialist in Tahlequah, Oklahoma
NPI 1194440735

Jennifer Janelle Lasiter is a Peer Specialist based in Tahlequah, OK. Jennifer Janelle Lasiter practices in Tahlequah, OK. The NPI Number for Jennifer Janelle Lasiter is 1194440735 and holds a License No. (Oklahoma).

The current practice location address for Jennifer Janelle Lasiter is 17675 S Muskogee Ave, Tahlequah, OK and can be reached out via phone at 918-453-5000.

Location: 17675 S Muskogee Ave, Tahlequah, OK, 74464-5492
person
Provider Profile Details
NPI Number
1194440735
Provider Name
Jennifer Janelle Lasiter
Credential
Provider Entity Type
Individual
Gender
Female
Address
17675 S Muskogee Ave, Tahlequah, OK, 74464-5492
Phone Number
918-453-5000
Fax Number
Provider Enumeration Date
10/06/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1134704489 01 OK CHEROKEE NATION
institution
Provider Business Practice Location Address Details
Address
17675 S Muskogee Ave
City
State
Zip
74464-5492
Phone Number
918-453-5000
Fax Number
person
Provider Business Mailing Address Details
Address
17675 S Muskogee Ave
City
State
Zip
74464-5492
Phone Number
918-453-5000
Fax Number
person
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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