Johnny White JR. is a Peer Specialist based in Owasso, OK. Johnny White JR. practices in Owasso, OK. The NPI Number for Johnny White JR. is 1366217929 and holds a License No. (Oklahoma).
The current practice location address for Johnny White JR. is 8311 N 99Th East Ave, Owasso, OK and can be reached out via phone at 405-240-0378.
Location: 8311 N 99Th East Ave, Owasso, OK, 74055-2359
Provider Profile Details
NPI Number
1366217929
Provider Name
Johnny White JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
8311 N 99Th East Ave, Owasso, OK, 74055-2359
Phone Number
405-240-0378
Fax Number
Provider Enumeration Date
11/22/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
8311 N 99Th East Ave
City
State
Zip
74055-2359
Phone Number
405-240-0378
Fax Number
Provider Business Mailing Address Details
Address
8311 N 99Th East Ave
City
State
Zip
74055-2359
Phone Number
405-240-0378
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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