Shandi Alphonso is a Peer Specialist based in Oklahoma City, OK. Shandi Alphonso practices in Okc, OK. The NPI Number for Shandi Alphonso is 1245683929 and holds a License No. (Oklahoma).
The current practice location address for Shandi Alphonso is 1219 N.w. 9Th St., Okc, OK and can be reached out via phone at 405-448-8077.
Location: 1219 N.w. 9Th St., Okc, OK, 73106-7009
Provider Profile Details
NPI Number
1245683929
Provider Name
Shandi Alphonso
Credential
Provider Entity Type
Individual
Gender
Female
Address
1219 N.w. 9Th St., Okc, OK, 73106-7009
Phone Number
405-448-8077
Fax Number
Provider Enumeration Date
07/19/2016
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B23337391 | 01 | OK | SOONERCARE |
Provider Business Practice Location Address Details
Address
1219 N.w. 9Th St.
City
State
Zip
73106
Phone Number
405-448-8077
Fax Number
Provider Business Mailing Address Details
Address
1219 N.w. 9Th St.
City
State
Zip
73106
Phone Number
405-448-8077
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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