Philander Wade II is a Peer Specialist based in Tulsa, OK. Philander Wade II practices in Tulsa, OK. The NPI Number for Philander Wade II is 1225894330 and holds a License No. (Oklahoma).
The current practice location address for Philander Wade II is 1728 S Carson Ave, Tulsa, OK and can be reached out via phone at 918-851-3276.
Location: 1728 S Carson Ave, Tulsa, OK, 74119-4610
Provider Profile Details
NPI Number
1225894330
Provider Name
Philander Wade II
Credential
Provider Entity Type
Individual
Gender
Male
Address
1728 S Carson Ave, Tulsa, OK, 74119-4610
Phone Number
918-851-3276
Fax Number
Provider Enumeration Date
02/26/2024
Last Update Date
03/13/2024
Provider Business Practice Location Address Details
Address
1728 S Carson Ave
City
State
Zip
74119-4610
Phone Number
918-851-3276
Fax Number
Provider Business Mailing Address Details
Address
1728 S Carson Ave
City
State
Zip
74119-4610
Phone Number
918-851-3276
Fax Number
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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