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Will Rodgers Jakes I
Peer Specialist in Edmond, Oklahoma
NPI 1497269435

Will Rodgers Jakes I is a Peer Specialist based in Edmond, OK. Will Rodgers Jakes I practices in Edmond, OK. The NPI Number for Will Rodgers Jakes I is 1497269435 and holds a License No. (Oklahoma).

The current practice location address for Will Rodgers Jakes I is 1406 Pine Oak Pl, Edmond, OK and can be reached out via phone at 405-305-9082.

Location: 1406 Pine Oak Pl, Edmond, OK, 73034-5437
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497269435
Provider Name
Will Rodgers Jakes I
Credential
Provider Entity Type
Individual
Gender
Male
Address
1406 Pine Oak Pl, Edmond, OK, 73034-5437
Phone Number
405-305-9082
Fax Number
Provider Enumeration Date
11/29/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1406 Pine Oak Pl
City
Edmond
State
Oklahoma
Zip
73034-5437
Phone Number
405-305-9082
Fax Number
person
Provider Business Mailing Address Details
Address
1406 Pine Oak Pl
City
Edmond
State
Oklahoma
Zip
73034-5437
Phone Number
405-305-9082
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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