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Carol Lynn Canby
Peer Specialist in Broken Arrow, Oklahoma
NPI 1215498688

Carol Lynn Canby is a Peer Specialist based in Broken Arrow, OK. Carol Lynn Canby practices in Broken Arrow, OK. The NPI Number for Carol Lynn Canby is 1215498688 and holds a License No. (Oklahoma).

The current practice location address for Carol Lynn Canby is 2311 W Nashville Pl, Broken Arrow, OK and can be reached out via phone at 918-607-9234.

Location: 2311 W Nashville Pl, Broken Arrow, OK, 74012-4725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215498688
Provider Name
Carol Lynn Canby
Credential
Provider Entity Type
Individual
Gender
Female
Address
2311 W Nashville Pl, Broken Arrow, OK, 74012-4725
Phone Number
918-607-9234
Fax Number
Provider Enumeration Date
03/28/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2311 W Nashville Pl
City
Broken Arrow
State
Oklahoma
Zip
74012-4725
Phone Number
918-607-9234
Fax Number
person
Provider Business Mailing Address Details
Address
2311 W Nashville Pl
City
Broken Arrow
State
Oklahoma
Zip
74012-4725
Phone Number
918-607-9234
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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