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Mr. Justin Tyler Mashburn
Peer Specialist in Claremore, Oklahoma
NPI 1548957186

Justin Tyler Mashburn is a Peer Specialist based in Claremore, OK. Justin Tyler Mashburn practices in Claremore, OK. The NPI Number for Justin Tyler Mashburn is 1548957186 and holds a License No. (Oklahoma).

The current practice location address for Justin Tyler Mashburn is 3100 Medical Pkwy, Claremore, OK and can be reached out via phone at 918-342-0770 and via fax at 918-342-0087.

Location: 3100 Medical Pkwy, Claremore, OK, 74017-1088
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548957186
Provider Name
Justin Tyler Mashburn
Credential
Provider Entity Type
Individual
Gender
Male
Address
3100 Medical Pkwy, Claremore, OK, 74017-1088
Phone Number
918-342-0770
Fax Number
918-342-0087
Provider Enumeration Date
04/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3100 Medical Pkwy
City
Claremore
State
Oklahoma
Zip
74017-1088
Phone Number
918-342-0770
Fax Number
918-342-0087
person
Provider Business Mailing Address Details
Address
3100 Medical Pkwy
City
Claremore
State
Oklahoma
Zip
74017-1088
Phone Number
918-342-0770
Fax Number
918-342-0087
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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