person
Michael Cris Pennington
Peer Specialist in Tulsa, Oklahoma
NPI 1194597773

Michael Cris Pennington is a Peer Specialist based in Tulsa, OK. Michael Cris Pennington practices in Tulsa, OK. The NPI Number for Michael Cris Pennington is 1194597773 and holds a License No. (Oklahoma).

The current practice location address for Michael Cris Pennington is 11604 E 23Rd St, Tulsa, OK and can be reached out via phone at 918-630-6029.

Location: 11604 E 23Rd St, Tulsa, OK, 74129-5602
person
Provider Profile Details
NPI Number
1194597773
Provider Name
Michael Cris Pennington
Credential
Provider Entity Type
Individual
Gender
Male
Address
11604 E 23Rd St, Tulsa, OK, 74129-5602
Phone Number
918-630-6029
Fax Number
Provider Enumeration Date
10/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11604 E 23Rd St
City
State
Zip
74129-5602
Phone Number
918-630-6029
Fax Number
person
Provider Business Mailing Address Details
Address
11604 E 23Rd St
City
State
Zip
74129-5602
Phone Number
918-630-6029
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(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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