person
Latricia Edna Shambles
Peer Specialist in Nowata, Oklahoma
NPI 1265948004

Latricia Edna Shambles is a Peer Specialist based in Nowata, OK. Latricia Edna Shambles practices in Nowata, OK. The NPI Number for Latricia Edna Shambles is 1265948004 and holds a License No. (Oklahoma).

The current practice location address for Latricia Edna Shambles is 111 W Delaware Ave, Nowata, OK and can be reached out via phone at 918-273-1841.

Location: 111 W Delaware Ave, Nowata, OK, 74048-2616
person
Provider Profile Details
NPI Number
1265948004
Provider Name
Latricia Edna Shambles
Credential
Provider Entity Type
Individual
Gender
Female
Address
111 W Delaware Ave, Nowata, OK, 74048-2616
Phone Number
918-273-1841
Fax Number
Provider Enumeration Date
12/15/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
111 W Delaware Ave
City
State
Zip
74048-2616
Phone Number
918-273-1841
Fax Number
person
Provider Business Mailing Address Details
Address
111 W Delaware Ave
City
State
Zip
74048-2616
Phone Number
918-273-1841
Fax Number
person
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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