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Charlot Mitchell Mcculley
Peer Specialist in Claremore, Oklahoma
NPI 1417691676

Charlot Mitchell Mcculley is a Peer Specialist based in Claremore, OK. Charlot Mitchell Mcculley practices in Claremore, OK. The NPI Number for Charlot Mitchell Mcculley is 1417691676 and holds a License No. (Oklahoma).

The current practice location address for Charlot Mitchell Mcculley is 3100 Medical Pkwy, Claremore, OK and can be reached out via phone at 918-549-5256.

Location: 3100 Medical Pkwy, Claremore, OK, 74017-1088
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417691676
Provider Name
Charlot Mitchell Mcculley
Credential
Provider Entity Type
Individual
Gender
Male
Address
3100 Medical Pkwy, Claremore, OK, 74017-1088
Phone Number
918-549-5256
Fax Number
Provider Enumeration Date
04/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3100 Medical Pkwy
City
Claremore
State
Oklahoma
Zip
74017-1088
Phone Number
918-549-5256
Fax Number
person
Provider Business Mailing Address Details
Address
3100 Medical Pkwy
City
Claremore
State
Oklahoma
Zip
74017-1088
Phone Number
918-549-5256
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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