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Jimmie Ray Rodgers
Peer Specialist in Holdenville, Oklahoma
NPI 1538891841

Jimmie Ray Rodgers is a Peer Specialist based in Mcalester, OK. Jimmie Ray Rodgers practices in Holdenville, OK. The NPI Number for Jimmie Ray Rodgers is 1538891841 and holds a License No. (Oklahoma).

The current practice location address for Jimmie Ray Rodgers is 117 Rogers St., Holdenville, OK and can be reached out via phone at 405-379-6668.

Location: 117 Rogers St., Holdenville, OK, 74501-6793
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538891841
Provider Name
Jimmie Ray Rodgers
Credential
Provider Entity Type
Individual
Gender
Male
Address
117 Rogers St., Holdenville, OK, 74501-6793
Phone Number
405-379-6668
Fax Number
Provider Enumeration Date
06/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
117 Rogers St.
City
Holdenville
State
Oklahoma
Zip
74848
Phone Number
405-379-6668
Fax Number
person
Provider Business Mailing Address Details
Address
117 Rogers St.
City
Holdenville
State
Oklahoma
Zip
74848
Phone Number
405-379-6668
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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