Aelicia Fran Green - Tahlequah, OK

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. You can also correspond with Aelicia Fran Green through the mailing address at 110 LEOSER ST, TAHLEQUAH, OK - 74464-7032 (mailing address contact number: 918-506-0192).

Location: 110 Leoser St, Tahlequah, OK, 74464-7032

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

Address

110 Leoser St

City

Tahlequah

State

Oklahoma

Zip

74464-7032

Phone Number

918-506-0192

Fax Number

Address

110 Leoser St

City

Tahlequah

State

Oklahoma

Zip

74464-7032

Phone Number

918-506-0192

Fax Number

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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