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Matthew Trent Soldier
Peer Specialist in Wagoner, Oklahoma
NPI 1417560988

Matthew Trent Soldier is a Peer Specialist based in Salina, OK. Matthew Trent Soldier practices in Wagoner, OK. The NPI Number for Matthew Trent Soldier is 1417560988 and holds a License No. (Oklahoma).

The current practice location address for Matthew Trent Soldier is 109 S Harrill Ave, Wagoner, OK and can be reached out via phone at 918-485-0242.

Location: 109 S Harrill Ave, Wagoner, OK, 74365-3068
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417560988
Provider Name
Matthew Trent Soldier
Credential
Provider Entity Type
Individual
Gender
Male
Address
109 S Harrill Ave, Wagoner, OK, 74365-3068
Phone Number
918-485-0242
Fax Number
Provider Enumeration Date
08/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
109 S Harrill Ave
City
Wagoner
State
Oklahoma
Zip
74467-5317
Phone Number
918-485-0242
Fax Number
person
Provider Business Mailing Address Details
Address
109 S Harrill Ave
City
Wagoner
State
Oklahoma
Zip
74467-5317
Phone Number
918-485-0242
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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