Lori Lyn Wilson is a Peer Specialist based in Mustang, OK. Lori Lyn Wilson practices in Mustang, OK. The NPI Number for Lori Lyn Wilson is 1427665660 and holds a License No. (Oklahoma).
The current practice location address for Lori Lyn Wilson is 12700 Sw 53Rd St, Mustang, OK and can be reached out via phone at 405-503-1073.
Location: 12700 Sw 53Rd St, Mustang, OK, 73064-7257
Provider Profile Details
NPI Number
1427665660
Provider Name
Lori Lyn Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
12700 Sw 53Rd St, Mustang, OK, 73064-7257
Phone Number
405-503-1073
Fax Number
Provider Enumeration Date
09/30/2020
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
12700 Sw 53Rd St
City
State
Zip
73064-7257
Phone Number
405-503-1073
Fax Number
Provider Business Mailing Address Details
Address
12700 Sw 53Rd St
City
State
Zip
73064-7257
Phone Number
405-503-1073
Fax Number
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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