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Christina Marie Waller
Peer Specialist in Vinita, Oklahoma
NPI 1548962988

Christina Marie Waller is a Peer Specialist based in Vinita, OK. Christina Marie Waller practices in Vinita, OK. The NPI Number for Christina Marie Waller is 1548962988 and holds a License No. (Oklahoma).

The current practice location address for Christina Marie Waller is 445028 E Sportsman Ln, Vinita, OK and can be reached out via phone at 918-734-4252.

Location: 445028 E Sportsman Ln, Vinita, OK, 74301-7177
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548962988
Provider Name
Christina Marie Waller
Credential
Provider Entity Type
Individual
Gender
Female
Address
445028 E Sportsman Ln, Vinita, OK, 74301-7177
Phone Number
918-734-4252
Fax Number
Provider Enumeration Date
03/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
445028 E Sportsman Ln
City
Vinita
State
Oklahoma
Zip
74301-7177
Phone Number
918-734-4252
Fax Number
person
Provider Business Mailing Address Details
Address
445028 E Sportsman Ln
City
Vinita
State
Oklahoma
Zip
74301-7177
Phone Number
918-734-4252
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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