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Mr. Michael Elvin Tate
Peer Specialist in Muskogee, Oklahoma
NPI 1386133528

Michael Elvin Tate is a Peer Specialist based in Muskogee, OK. Michael Elvin Tate practices in Muskogee, OK. The NPI Number for Michael Elvin Tate is 1386133528 and holds a License No. (Oklahoma).

The current practice location address for Michael Elvin Tate is 619 N Main St, Muskogee, OK and can be reached out via phone at 918-682-6407.

Location: 619 N Main St, Muskogee, OK, 74401-4431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386133528
Provider Name
Michael Elvin Tate
Credential
Provider Entity Type
Individual
Gender
Male
Address
619 N Main St, Muskogee, OK, 74401-4431
Phone Number
918-682-6407
Fax Number
Provider Enumeration Date
05/03/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
619 N Main St
City
Muskogee
State
Oklahoma
Zip
74401-4431
Phone Number
918-682-6407
Fax Number
person
Provider Business Mailing Address Details
Address
619 N Main St
City
Muskogee
State
Oklahoma
Zip
74401-4431
Phone Number
918-682-6407
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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