Edward Smith JR. is a Peer Specialist based in Sapulpa, OK. Edward Smith JR. practices in Sapulpa, OK. The NPI Number for Edward Smith JR. is 1245925619 and holds a License No. (Oklahoma).
The current practice location address for Edward Smith JR. is 23 E Ross Ave, Sapulpa, OK and can be reached out via phone at 918-227-2016.
Location: 23 E Ross Ave, Sapulpa, OK, 74066-6423
Provider Profile Details
NPI Number
1245925619
Provider Name
Edward Smith JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
23 E Ross Ave, Sapulpa, OK, 74066-6423
Phone Number
918-227-2016
Fax Number
Provider Enumeration Date
04/10/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
23 E Ross Ave
City
State
Zip
74066-6423
Phone Number
918-227-2016
Fax Number
Provider Business Mailing Address Details
Address
23 E Ross Ave
City
State
Zip
74066-6423
Phone Number
918-227-2016
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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