person
Pamela Tanner
Peer Specialist in Muskogee, Oklahoma
NPI 1508360082

Pamela Tanner is a Peer Specialist based in Checotah, OK. Pamela Tanner practices in Muskogee, OK. The NPI Number for Pamela Tanner is 1508360082 and holds a License No. (Oklahoma).

The current practice location address for Pamela Tanner is 619 N Main St, Muskogee, OK and can be reached out via phone at 918-682-8407. You can also correspond with Pamela Tanner through the mailing address at 426829 E 1090 RD, CHECOTAH, OK - 74426-5726 (mailing address contact number: 918-617-0450).

Location: 619 N Main St, Muskogee, OK, 74426-5726
person
Provider Profile Details
NPI Number
1508360082
Provider Name
Pamela Tanner
Credential
Provider Entity Type
Individual
Gender
Female
Address
619 N Main St, Muskogee, OK, 74426-5726
Phone Number
918-682-8407
Fax Number
Provider Enumeration Date
03/20/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
619 N Main St
City
State
Zip
74401-4431
Phone Number
918-682-8407
Fax Number
person
Provider Business Mailing Address Details
Address
426829 E 1090 Rd
City
State
Zip
74426-5726
Phone Number
918-617-0450
Fax Number
person
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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