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Madison James Phillips
Peer Specialist in Walters, Oklahoma
NPI 1376328955

Madison James Phillips is a Peer Specialist based in Walters, OK. Madison James Phillips practices in Walters, OK. The NPI Number for Madison James Phillips is 1376328955 and holds a License No. (Oklahoma).

The current practice location address for Madison James Phillips is 412 E Oklahoma St, Walters, OK and can be reached out via phone at 580-559-6133.

Location: 412 E Oklahoma St, Walters, OK, 73572-1622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376328955
Provider Name
Madison James Phillips
Credential
Provider Entity Type
Individual
Gender
Male
Address
412 E Oklahoma St, Walters, OK, 73572-1622
Phone Number
580-559-6133
Fax Number
Provider Enumeration Date
08/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
412 E Oklahoma St
City
Walters
State
Oklahoma
Zip
73572-1622
Phone Number
580-559-6133
Fax Number
person
Provider Business Mailing Address Details
Address
412 E Oklahoma St
City
Walters
State
Oklahoma
Zip
73572-1622
Phone Number
580-559-6133
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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