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Jordan Patty
Peer Specialist in Sapulpa, Oklahoma
NPI 1336763945

Jordan Patty is a Peer Specialist based in Tulsa, OK. Jordan Patty practices in Sapulpa, OK. The NPI Number for Jordan Patty is 1336763945 and holds a License No. (Oklahoma).

The current practice location address for Jordan Patty is 23 E Ross Ave, Sapulpa, OK and can be reached out via phone at 918-227-2016. You can also correspond with Jordan Patty through the mailing address at 4103 S YALE AVE STE B, TULSA, OK - 74135-6002 (mailing address contact number: 918-382-7300).

Location: 23 E Ross Ave, Sapulpa, OK, 74135-6002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336763945
Provider Name
Jordan Patty
Credential
Provider Entity Type
Individual
Gender
Female
Address
23 E Ross Ave, Sapulpa, OK, 74135-6002
Phone Number
918-227-2016
Fax Number
Provider Enumeration Date
05/31/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
23 E Ross Ave
City
Sapulpa
State
Oklahoma
Zip
74066-6423
Phone Number
918-227-2016
Fax Number
person
Provider Business Mailing Address Details
Address
4103 S Yale Ave Ste B
City
Tulsa
State
Oklahoma
Zip
74135-6002
Phone Number
918-382-7300
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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