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Seth Palmer Destefano
Peer Specialist in Claremore, Oklahoma
NPI 1285417055

Seth Palmer Destefano is a Peer Specialist based in Claremore, OK. Seth Palmer Destefano practices in Claremore, OK. The NPI Number for Seth Palmer Destefano is 1285417055 and holds a License No. (Oklahoma).

The current practice location address for Seth Palmer Destefano is 3100 Medical Pkwy, Claremore, OK and can be reached out via phone at 539-242-3322.

Location: 3100 Medical Pkwy, Claremore, OK, 74017-1088
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285417055
Provider Name
Seth Palmer Destefano
Credential
Provider Entity Type
Individual
Gender
Male
Address
3100 Medical Pkwy, Claremore, OK, 74017-1088
Phone Number
539-242-3322
Fax Number
Provider Enumeration Date
08/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3100 Medical Pkwy
City
Claremore
State
Oklahoma
Zip
74017-1088
Phone Number
539-242-3322
Fax Number
person
Provider Business Mailing Address Details
Address
3100 Medical Pkwy
City
Claremore
State
Oklahoma
Zip
74017-1088
Phone Number
539-242-3322
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
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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