Jerry Medlock is a Peer Specialist based in Del City, OK. Jerry Medlock practices in Del City, OK. The NPI Number for Jerry Medlock is 1285164392 and holds a License No. (Oklahoma).
The current practice location address for Jerry Medlock is 4312 Vfw Dr. Apt # 7, Del City, OK and can be reached out via phone at 405-468-0922.
Location: 4312 Vfw Dr. Apt # 7, Del City, OK, 73115-2139
Provider Profile Details
NPI Number
1285164392
Provider Name
Jerry Medlock
Credential
Provider Entity Type
Individual
Gender
Male
Address
4312 Vfw Dr. Apt # 7, Del City, OK, 73115-2139
Phone Number
405-468-0922
Fax Number
Provider Enumeration Date
06/13/2017
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
4312 Vfw Dr. Apt # 7
City
State
Zip
73115
Phone Number
405-468-0922
Fax Number
Provider Business Mailing Address Details
Address
4312 Vfw Dr. Apt # 7
City
State
Zip
73115
Phone Number
405-468-0922
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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