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Joseph Randal Nelson
Peer Specialist in Edmond, Oklahoma
NPI 1265194351

Joseph Randal Nelson is a Peer Specialist based in Edmond, OK. Joseph Randal Nelson practices in Edmond, OK. The NPI Number for Joseph Randal Nelson is 1265194351 and holds a License No. (Oklahoma).

The current practice location address for Joseph Randal Nelson is 313 E Edwards St Apt B2, Edmond, OK and can be reached out via phone at 405-227-1325.

Location: 313 E Edwards St Apt B2, Edmond, OK, 73034-4597
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265194351
Provider Name
Joseph Randal Nelson
Credential
Provider Entity Type
Individual
Gender
Male
Address
313 E Edwards St Apt B2, Edmond, OK, 73034-4597
Phone Number
405-227-1325
Fax Number
Provider Enumeration Date
10/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
313 E Edwards St Apt B2
City
Edmond
State
Oklahoma
Zip
73034-4597
Phone Number
405-227-1325
Fax Number
person
Provider Business Mailing Address Details
Address
313 E Edwards St Apt B2
City
Edmond
State
Oklahoma
Zip
73034-4597
Phone Number
405-227-1325
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Oklahoma)
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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