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Jeremiah Turner-medlock
Peer Specialist in Shawnee, Oklahoma
NPI 1407614159

Jeremiah Turner-medlock is a Peer Specialist based in Harrah, OK. Jeremiah Turner-medlock practices in Shawnee, OK. The NPI Number for Jeremiah Turner-medlock is 1407614159 and holds a License No. (Oklahoma).

The current practice location address for Jeremiah Turner-medlock is 1336 N Harrison Ave, Shawnee, OK and can be reached out via phone at 405-424-7711.

Location: 1336 N Harrison Ave, Shawnee, OK, 73045-9642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407614159
Provider Name
Jeremiah Turner-medlock
Credential
Provider Entity Type
Individual
Gender
Male
Address
1336 N Harrison Ave, Shawnee, OK, 73045-9642
Phone Number
405-424-7711
Fax Number
Provider Enumeration Date
03/07/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1336 N Harrison Ave
City
Shawnee
State
Oklahoma
Zip
74801-5206
Phone Number
405-424-7711
Fax Number
person
Provider Business Mailing Address Details
Address
1336 N Harrison Ave
City
Shawnee
State
Oklahoma
Zip
74801-5206
Phone Number
405-424-7711
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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