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Aelicia Fran Green
Peer Specialist in Tahlequah, Oklahoma
NPI 1366097636

Aelicia Fran Green is a Peer Specialist based in Tahlequah, OK. Aelicia Fran Green practices in Tahlequah, OK. The NPI Number for Aelicia Fran Green is 1366097636 and holds a License No. (Oklahoma).

The current practice location address for Aelicia Fran Green is 110 Leoser St, Tahlequah, OK and can be reached out via phone at 918-506-0192.

Location: 110 Leoser St, Tahlequah, OK, 74464-7032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366097636
Provider Name
Aelicia Fran Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
110 Leoser St, Tahlequah, OK, 74464-7032
Phone Number
918-506-0192
Fax Number
Provider Enumeration Date
08/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
110 Leoser St
City
Tahlequah
State
Oklahoma
Zip
74464-7032
Phone Number
918-506-0192
Fax Number
person
Provider Business Mailing Address Details
Address
110 Leoser St
City
Tahlequah
State
Oklahoma
Zip
74464-7032
Phone Number
918-506-0192
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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