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Jan M Villaran
Peer Specialist in Broken Arrow, Oklahoma
NPI 1376311696

Jan M Villaran is a Peer Specialist based in Broken Arrow, OK. Jan M Villaran practices in Broken Arrow, OK. The NPI Number for Jan M Villaran is 1376311696 and holds a License No. (Oklahoma).

The current practice location address for Jan M Villaran is 1801 E Winston St, Broken Arrow, OK and can be reached out via phone at 787-312-5766.

Location: 1801 E Winston St, Broken Arrow, OK, 74011-7507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376311696
Provider Name
Jan M Villaran
Credential
Provider Entity Type
Individual
Gender
Male
Address
1801 E Winston St, Broken Arrow, OK, 74011-7507
Phone Number
787-312-5766
Fax Number
Provider Enumeration Date
12/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1801 E Winston St
City
Broken Arrow
State
Oklahoma
Zip
74011-7507
Phone Number
787-312-5766
Fax Number
person
Provider Business Mailing Address Details
Address
1801 E Winston St
City
Broken Arrow
State
Oklahoma
Zip
74011-7507
Phone Number
787-312-5766
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Oklahoma)
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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