person
Kristopher Lee Butler
Peer Specialist in Ponca City, Oklahoma
NPI 1417445511

Kristopher Lee Butler is a Peer Specialist based in Ponca City, OK. Kristopher Lee Butler practices in Ponca City, OK. The NPI Number for Kristopher Lee Butler is 1417445511 and holds a License No. (Oklahoma).

The current practice location address for Kristopher Lee Butler is 620 W Grand Ave, Ponca City, OK and can be reached out via phone at 580-762-1462 and via fax at 580-657-7299.

Location: 620 W Grand Ave, Ponca City, OK, 74601-5123
person
Provider Profile Details
NPI Number
1417445511
Provider Name
Kristopher Lee Butler
Credential
Provider Entity Type
Individual
Gender
Male
Address
620 W Grand Ave, Ponca City, OK, 74601-5123
Phone Number
580-762-1462
Fax Number
580-657-7299
Provider Enumeration Date
04/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
620 W Grand Ave
City
State
Zip
74601-5123
Phone Number
580-762-1462
Fax Number
580-657-7299
person
Provider Business Mailing Address Details
Address
620 W Grand Ave
City
State
Zip
74601-5123
Phone Number
580-762-1462
Fax Number
580-657-7299
person
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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