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James Dale Stafford
Peer Specialist in Grove, Oklahoma
NPI 1285349894

James Dale Stafford is a Peer Specialist based in Wagoner, OK. James Dale Stafford practices in Grove, OK. The NPI Number for James Dale Stafford is 1285349894 and holds a License No. (Oklahoma).

The current practice location address for James Dale Stafford is 1101 S Mill St, Grove, OK and can be reached out via phone at 918-353-3701.

Location: 1101 S Mill St, Grove, OK, 74467-6928
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285349894
Provider Name
James Dale Stafford
Credential
Provider Entity Type
Individual
Gender
Male
Address
1101 S Mill St, Grove, OK, 74467-6928
Phone Number
918-353-3701
Fax Number
Provider Enumeration Date
01/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1101 S Mill St
City
Grove
State
Oklahoma
Zip
74344-2954
Phone Number
918-353-3701
Fax Number
person
Provider Business Mailing Address Details
Address
1101 S Mill St
City
Grove
State
Oklahoma
Zip
74344-2954
Phone Number
918-353-3701
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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