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Elizabeth A Crockett
Peer Specialist in Afton, Oklahoma
NPI 1417623786

Elizabeth A Crockett is a Peer Specialist based in Afton, OK. Elizabeth A Crockett practices in Afton, OK. The NPI Number for Elizabeth A Crockett is 1417623786 and holds a License No. (Oklahoma).

The current practice location address for Elizabeth A Crockett is 138 S. Main Street, Afton, OK and can be reached out via phone at 918-257-4244 and via fax at 918-257-4247.

Location: 138 S. Main Street, Afton, OK, 74331-1822
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417623786
Provider Name
Elizabeth A Crockett
Credential
Provider Entity Type
Individual
Gender
Female
Address
138 S. Main Street, Afton, OK, 74331-1822
Phone Number
918-257-4244
Fax Number
918-257-4247
Provider Enumeration Date
08/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
138 S. Main Street
City
Afton
State
Oklahoma
Zip
74331-1822
Phone Number
918-257-4244
Fax Number
918-257-4247
person
Provider Business Mailing Address Details
Address
138 S. Main Street
City
Afton
State
Oklahoma
Zip
74331-1822
Phone Number
918-257-4244
Fax Number
918-257-4247
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Oklahoma)
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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