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Kellie Diane Gregory
Peer Specialist in Collinsville, Oklahoma
NPI 1518478890

Kellie Diane Gregory is a Peer Specialist based in Collinsville, OK. Kellie Diane Gregory practices in Collinsville, OK. The NPI Number for Kellie Diane Gregory is 1518478890 and holds a License No. (Oklahoma).

The current practice location address for Kellie Diane Gregory is 13413 N 91St East Ave, Collinsville, OK and can be reached out via phone at 918-955-5062.

Location: 13413 N 91St East Ave, Collinsville, OK, 74021-3969
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518478890
Provider Name
Kellie Diane Gregory
Credential
Provider Entity Type
Individual
Gender
Female
Address
13413 N 91St East Ave, Collinsville, OK, 74021-3969
Phone Number
918-955-5062
Fax Number
Provider Enumeration Date
10/13/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13413 N 91St East Ave
City
Collinsville
State
Oklahoma
Zip
74021-3969
Phone Number
918-955-5062
Fax Number
person
Provider Business Mailing Address Details
Address
13413 N 91St East Ave
City
Collinsville
State
Oklahoma
Zip
74021-3969
Phone Number
918-955-5062
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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