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Keith Cockle
Peer Specialist in Grove, Oklahoma
NPI 1376908962

Keith Cockle is a Peer Specialist based in Grove, OK. Keith Cockle practices in Grove, OK. The NPI Number for Keith Cockle is 1376908962 and holds a License No. 129951 (Oklahoma).

The current practice location address for Keith Cockle is 1115 Harbor Rd, Grove, OK and can be reached out via phone at 918-786-4434 and via fax at 918-786-4435.

Location: 1115 Harbor Rd, Grove, OK, 74344-3505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376908962
Provider Name
Keith Cockle
Credential
Provider Entity Type
Individual
Gender
Male
Address
1115 Harbor Rd, Grove, OK, 74344-3505
Phone Number
918-786-4434
Fax Number
918-786-4435
Provider Enumeration Date
12/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1115 Harbor Rd
City
Grove
State
Oklahoma
Zip
74344-3505
Phone Number
918-786-4434
Fax Number
918-786-4435
person
Provider Business Mailing Address Details
Address
1115 Harbor Rd
City
Grove
State
Oklahoma
Zip
74344-3505
Phone Number
918-786-4434
Fax Number
918-786-4435
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
129951 (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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