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Chasa Nicole Moore
Peer Specialist in Poteau, Oklahoma
NPI 1538810221

Chasa Nicole Moore is a Peer Specialist based in Poteau, OK. Chasa Nicole Moore practices in Poteau, OK. The NPI Number for Chasa Nicole Moore is 1538810221 and holds a License No. (Oklahoma).

The current practice location address for Chasa Nicole Moore is 1212 Reynolds Ave, Poteau, OK and can be reached out via phone at 888-537-7792.

Location: 1212 Reynolds Ave, Poteau, OK, 74953-4724
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538810221
Provider Name
Chasa Nicole Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
1212 Reynolds Ave, Poteau, OK, 74953-4724
Phone Number
888-537-7792
Fax Number
Provider Enumeration Date
01/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1212 Reynolds Ave
City
Poteau
State
Oklahoma
Zip
74953-4724
Phone Number
888-537-7792
Fax Number
person
Provider Business Mailing Address Details
Address
1212 Reynolds Ave
City
Poteau
State
Oklahoma
Zip
74953-4724
Phone Number
888-537-7792
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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