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Nicholas Mullen
Peer Specialist in Fort Gibson, Oklahoma
NPI 1396232252

Nicholas Mullen is a Peer Specialist based in Fort Gibson, OK. Nicholas Mullen practices in Fort Gibson, OK. The NPI Number for Nicholas Mullen is 1396232252 and holds a License No. (Oklahoma).

The current practice location address for Nicholas Mullen is 702 E Walnut St, Fort Gibson, OK and can be reached out via phone at 918-869-3552.

Location: 702 E Walnut St, Fort Gibson, OK, 74434-8541
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396232252
Provider Name
Nicholas Mullen
Credential
Provider Entity Type
Individual
Gender
Male
Address
702 E Walnut St, Fort Gibson, OK, 74434-8541
Phone Number
918-869-3552
Fax Number
Provider Enumeration Date
04/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
702 E Walnut St
City
Fort Gibson
State
Oklahoma
Zip
74434-8541
Phone Number
918-869-3552
Fax Number
person
Provider Business Mailing Address Details
Address
702 E Walnut St
City
Fort Gibson
State
Oklahoma
Zip
74434-8541
Phone Number
918-869-3552
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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