person
Brandy Lee Blackwood
Peer Specialist in Ardmore, Oklahoma
NPI 1194583781

Brandy Lee Blackwood is a Peer Specialist based in Ardmore, OK. Brandy Lee Blackwood practices in Ardmore, OK. The NPI Number for Brandy Lee Blackwood is 1194583781 and holds a License No. (Oklahoma).

The current practice location address for Brandy Lee Blackwood is 905 Holiday Dr, Ardmore, OK and can be reached out via phone at 580-226-5003. You can also correspond with Brandy Lee Blackwood through the mailing address at 905 HOLIDAY DR, ARDMORE, OK - 73401-1216 (mailing address contact number: ).

Location: 905 Holiday Dr, Ardmore, OK, 73401-1216
person
Provider Profile Details
NPI Number
1194583781
Provider Name
Brandy Lee Blackwood
Credential
Provider Entity Type
Individual
Gender
Female
Address
905 Holiday Dr, Ardmore, OK, 73401-1216
Phone Number
580-226-5003
Fax Number
Provider Enumeration Date
03/08/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
905 Holiday Dr
City
State
Zip
73401-1216
Phone Number
580-226-5003
Fax Number
person
Provider Business Mailing Address Details
Address
905 Holiday Dr
City
State
Zip
73401-1216
Phone Number
580-226-5003
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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