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Mr. John Medwin Terry JR.
Peer Specialist in Ardmore, Oklahoma
NPI 1235605817

John Medwin Terry JR. is a Peer Specialist based in Ardmore, OK. John Medwin Terry JR. practices in Ardmore, OK. The NPI Number for John Medwin Terry JR. is 1235605817 and holds a License No. (Oklahoma).

The current practice location address for John Medwin Terry JR. is 2428 Autumn Run Ste B, Ardmore, OK and can be reached out via phone at 580-220-1164. You can also correspond with John Medwin Terry JR. through the mailing address at 2428 AUTUMN RUN STE B, ARDMORE, OK - 73401-2222 (mailing address contact number: ).

Location: 2428 Autumn Run Ste B, Ardmore, OK, 73401-2222
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235605817
Provider Name
John Medwin Terry JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2428 Autumn Run Ste B, Ardmore, OK, 73401-2222
Phone Number
580-220-1164
Fax Number
Provider Enumeration Date
10/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2428 Autumn Run Ste B
City
Ardmore
State
Oklahoma
Zip
73401-2222
Phone Number
580-220-1164
Fax Number
person
Provider Business Mailing Address Details
Address
2428 Autumn Run Ste B
City
Ardmore
State
Oklahoma
Zip
73401-2222
Phone Number
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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