Tia Queen is a Peer Specialist based in Choctaw, OK. Tia Queen practices in Shawnee, OK. The NPI Number for Tia Queen is 1568175529 and holds a License No. (Oklahoma).
The current practice location address for Tia Queen is 1336 N Harrison Ave, Shawnee, OK and can be reached out via phone at 405-618-7569.
Location: 1336 N Harrison Ave, Shawnee, OK, 73020-7304
Provider Profile Details
NPI Number
1568175529
Provider Name
Tia Queen
Credential
Provider Entity Type
Individual
Gender
Female
Address
1336 N Harrison Ave, Shawnee, OK, 73020-7304
Phone Number
405-618-7569
Fax Number
Provider Enumeration Date
01/04/2023
Last Update Date
04/14/2024
Provider Business Practice Location Address Details
Address
1336 N Harrison Ave
City
State
Zip
74801-5206
Phone Number
405-618-7569
Fax Number
Provider Business Mailing Address Details
Address
1336 N Harrison Ave
City
State
Zip
74801-5206
Phone Number
405-618-7569
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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