Raven Bruce is a Peer Specialist based in Seminole, OK. Raven Bruce practices in Shawnee, OK. The NPI Number for Raven Bruce is 1356055669 and holds a License No. (Oklahoma).
The current practice location address for Raven Bruce is 1336 N Harrison Ave, Shawnee, OK and can be reached out via phone at 405-424-7711.
Location: 1336 N Harrison Ave, Shawnee, OK, 74868-3302
Provider Profile Details
NPI Number
1356055669
Provider Name
Raven Bruce
Credential
Provider Entity Type
Individual
Gender
Female
Address
1336 N Harrison Ave, Shawnee, OK, 74868-3302
Phone Number
405-424-7711
Fax Number
Provider Enumeration Date
01/11/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1336 N Harrison Ave
City
State
Zip
74801-5206
Phone Number
405-424-7711
Fax Number
Provider Business Mailing Address Details
Address
1336 N Harrison Ave
City
State
Zip
74801-5206
Phone Number
405-424-7711
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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