Tara Lou Gladden is a Peer Specialist based in Cushing, OK. Tara Lou Gladden practices in Cushing, OK. The NPI Number for Tara Lou Gladden is 1407491798 and holds a License No. (Oklahoma).
The current practice location address for Tara Lou Gladden is 14221 E 74Th St, Cushing, OK and can be reached out via phone at 405-614-5470.
Location: 14221 E 74Th St, Cushing, OK, 74023-6723
Provider Profile Details
NPI Number
1407491798
Provider Name
Tara Lou Gladden
Credential
Provider Entity Type
Individual
Gender
Female
Address
14221 E 74Th St, Cushing, OK, 74023-6723
Phone Number
405-614-5470
Fax Number
Provider Enumeration Date
11/11/2019
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
14221 E 74Th St
City
State
Zip
74023-6723
Phone Number
405-614-5470
Fax Number
Provider Business Mailing Address Details
Address
14221 E 74Th St
City
State
Zip
74023-6723
Phone Number
405-614-5470
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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