Mickeeta Lashoone Rose - Oklahoma City, OK

Mickeeta Lashoone Rose

Peer Specialist in Oklahoma City, Oklahoma

NPI 1396251179

Mickeeta Lashoone Rose is a Peer Specialist based in Oklahoma City, OK. Mickeeta Lashoone Rose practices in Oklahoma City, OK. The NPI Number for Mickeeta Lashoone Rose is 1396251179 and holds a License No. (Oklahoma).

The current practice location address for Mickeeta Lashoone Rose is 717 Ne 79Th Pl, Oklahoma City, OK and can be reached out via phone at 405-505-3598.

Location: 717 Ne 79Th Pl, Oklahoma City, OK, 73117-1022

NPI Number

1396251179

Provider Name

Mickeeta Lashoone Rose

Credential

Provider Entity Type

Individual

Gender

Female

Address

717 Ne 79Th Pl, Oklahoma City, OK, 73117-1022

Phone Number

405-505-3598

Fax Number

Provider Enumeration Date

12/16/2017

Last Update Date

03/10/2024

Address

717 Ne 79Th Pl

City

Oklahoma City

State

Oklahoma

Zip

73114-4106

Phone Number

405-505-3598

Fax Number

Address

717 Ne 79Th Pl

City

Oklahoma City

State

Oklahoma

Zip

73114-4106

Phone Number

405-505-3598

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

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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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