Tony Qualls is a Peer Specialist based in Ponca City, OK. Tony Qualls practices in Ponca City, OK. The NPI Number for Tony Qualls is 1306602685 and holds a License No. (Oklahoma).
The current practice location address for Tony Qualls is 407 W South Ave, Ponca City, OK and can be reached out via phone at 844-458-2100.
Location: 407 W South Ave, Ponca City, OK, 74601-6133
Provider Profile Details
NPI Number
1306602685
Provider Name
Tony Qualls
Credential
Provider Entity Type
Individual
Gender
Male
Address
407 W South Ave, Ponca City, OK, 74601-6133
Phone Number
844-458-2100
Fax Number
Provider Enumeration Date
02/26/2024
Last Update Date
03/13/2024
Provider Business Practice Location Address Details
Address
407 W South Ave
City
State
Zip
74601-6133
Phone Number
844-458-2100
Fax Number
Provider Business Mailing Address Details
Address
407 W South Ave
City
State
Zip
74601-6133
Phone Number
844-458-2100
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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