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Ericka Burleson
Peer Specialist in Fort Supply, Oklahoma
NPI 1396406757

Ericka Burleson is a Peer Specialist based in Fort Supply, OK. Ericka Burleson practices in Fort Supply, OK. The NPI Number for Ericka Burleson is 1396406757 and holds a License No. (Oklahoma).

The current practice location address for Ericka Burleson is 193461 E Co Rd 304, Fort Supply, OK and can be reached out via phone at 580-766-2311.

Location: 193461 E Co Rd 304, Fort Supply, OK, 73841
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396406757
Provider Name
Ericka Burleson
Credential
Provider Entity Type
Individual
Gender
Female
Address
193461 E Co Rd 304, Fort Supply, OK, 73841
Phone Number
580-766-2311
Fax Number
Provider Enumeration Date
01/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
193461 E Co Rd 304
City
Fort Supply
State
Oklahoma
Zip
73841
Phone Number
580-766-2311
Fax Number
person
Provider Business Mailing Address Details
Address
193461 E Co Rd 304
City
Fort Supply
State
Oklahoma
Zip
73841
Phone Number
580-766-2311
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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