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Amelia Brooke Gambol, PRSS
Peer Specialist in Valliant, Oklahoma
NPI 1417553736

Amelia Brooke Gambol is a Peer Specialist based in Broken Bow, OK. Amelia Brooke Gambol practices in Valliant, OK and has the professional credentials of PRSS. The NPI Number for Amelia Brooke Gambol is 1417553736 and holds a License No. (Oklahoma).

The current practice location address for Amelia Brooke Gambol is 300 N Dalton St, Valliant, OK and can be reached out via phone at 580-203-3600 and via fax at 833-402-9799.

Location: 300 N Dalton St, Valliant, OK, 74728-5637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417553736
Provider Name
Amelia Brooke Gambol
Credential
PRSS
Provider Entity Type
Individual
Gender
Female
Address
300 N Dalton St, Valliant, OK, 74728-5637
Phone Number
580-203-3600
Fax Number
833-402-9799
Provider Enumeration Date
12/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 N Dalton St
City
Valliant
State
Oklahoma
Zip
74764-8029
Phone Number
580-203-3600
Fax Number
833-402-9799
person
Provider Business Mailing Address Details
Address
300 N Dalton St
City
Valliant
State
Oklahoma
Zip
74764-8029
Phone Number
580-203-3600
Fax Number
833-402-9799
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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