Diamond Mickey - Oklahoma City, OK

Diamond Mickey

Peer Specialist in Oklahoma City, Oklahoma

NPI 1568145365

Diamond Mickey is a Peer Specialist based in Oklahoma City, OK. Diamond Mickey practices in Oklahoma City, OK. The NPI Number for Diamond Mickey is 1568145365 and holds a License No. (Oklahoma).

The current practice location address for Diamond Mickey is 7401 Ne 23Rd St, Oklahoma City, OK and can be reached out via phone at 405-588-2208.

Location: 7401 Ne 23Rd St, Oklahoma City, OK, 73141-1420

NPI Number

1568145365

Provider Name

Diamond Mickey

Credential

Provider Entity Type

Individual

Gender

Female

Address

7401 Ne 23Rd St, Oklahoma City, OK, 73141-1420

Phone Number

405-588-2208

Fax Number

Provider Enumeration Date

08/08/2023

Last Update Date

03/10/2024

Address

7401 Ne 23Rd St

City

Oklahoma City

State

Oklahoma

Zip

73141-1420

Phone Number

405-588-2208

Fax Number

Address

7401 Ne 23Rd St

City

Oklahoma City

State

Oklahoma

Zip

73141-1420

Phone Number

405-588-2208

Fax Number

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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