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Shelby Tucker
Peer Specialist in Enid, Oklahoma
NPI 1437732435

Shelby Tucker is a Peer Specialist based in Enid, OK. Shelby Tucker practices in Enid, OK. The NPI Number for Shelby Tucker is 1437732435 and holds a License No. 10939126 (Oklahoma).

The current practice location address for Shelby Tucker is 1824 S Van Buren St, Enid, OK and can be reached out via phone at 405-230-1168. You can also correspond with Shelby Tucker through the mailing address at 702 N GRAND ST, ENID, OK - 73701-3221 (mailing address contact number: 580-234-3791).

Location: 1824 S Van Buren St, Enid, OK, 73701-3221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437732435
Provider Name
Shelby Tucker
Credential
Provider Entity Type
Individual
Gender
Male
Address
1824 S Van Buren St, Enid, OK, 73701-3221
Phone Number
405-230-1168
Fax Number
Provider Enumeration Date
04/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1824 S Van Buren St
City
Enid
State
Oklahoma
Zip
73703-7903
Phone Number
405-230-1168
Fax Number
person
Provider Business Mailing Address Details
Address
702 N Grand St
City
Enid
State
Oklahoma
Zip
73701-3221
Phone Number
580-234-3791
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
10939126 (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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