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Kristen Wayman
Peer Specialist in Broken Arrow, Oklahoma
NPI 1528623451

Kristen Wayman is a Peer Specialist based in Broken Arrow, OK. Kristen Wayman practices in Broken Arrow, OK. The NPI Number for Kristen Wayman is 1528623451 and holds a License No. (Oklahoma).

The current practice location address for Kristen Wayman is 104 W Gulfport St, Broken Arrow, OK and can be reached out via phone at 504-310-5763.

Location: 104 W Gulfport St, Broken Arrow, OK, 74011-5022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528623451
Provider Name
Kristen Wayman
Credential
Provider Entity Type
Individual
Gender
Female
Address
104 W Gulfport St, Broken Arrow, OK, 74011-5022
Phone Number
504-310-5763
Fax Number
Provider Enumeration Date
05/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
104 W Gulfport St
City
Broken Arrow
State
Oklahoma
Zip
74011-5022
Phone Number
504-310-5763
Fax Number
person
Provider Business Mailing Address Details
Address
104 W Gulfport St
City
Broken Arrow
State
Oklahoma
Zip
74011-5022
Phone Number
504-310-5763
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(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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