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Brenda Kay Ellis
Peer Specialist in Sallisaw, Oklahoma
NPI 1295585974

Brenda Kay Ellis is a Peer Specialist based in Sallisaw, OK. Brenda Kay Ellis practices in Sallisaw, OK. The NPI Number for Brenda Kay Ellis is 1295585974 and holds a License No. (Oklahoma).

The current practice location address for Brenda Kay Ellis is 1108 N Wheeler Ave, Sallisaw, OK and can be reached out via phone at 918-817-9787 and via fax at 918-775-5526.

Location: 1108 N Wheeler Ave, Sallisaw, OK, 74955-2227
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295585974
Provider Name
Brenda Kay Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
1108 N Wheeler Ave, Sallisaw, OK, 74955-2227
Phone Number
918-817-9787
Fax Number
918-775-5526
Provider Enumeration Date
03/25/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1108 N Wheeler Ave
City
Sallisaw
State
Oklahoma
Zip
74955-2227
Phone Number
918-817-9787
Fax Number
918-775-5526
person
Provider Business Mailing Address Details
Address
1108 N Wheeler Ave
City
Sallisaw
State
Oklahoma
Zip
74955-2227
Phone Number
918-817-9787
Fax Number
918-775-5526
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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