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Mr. James A Young
Peer Specialist in Fort Cobb, Oklahoma
NPI 1578110052

James A Young is a Peer Specialist based in Fort Cobb, OK. James A Young practices in Fort Cobb, OK. The NPI Number for James A Young is 1578110052 and holds a License No. (Oklahoma).

The current practice location address for James A Young is 25053 Country Street 2540, Fort Cobb, OK and can be reached out via phone at 405-439-1589.

Location: 25053 Country Street 2540, Fort Cobb, OK, 73038-0062
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578110052
Provider Name
James A Young
Credential
Provider Entity Type
Individual
Gender
Male
Address
25053 Country Street 2540, Fort Cobb, OK, 73038-0062
Phone Number
405-439-1589
Fax Number
Provider Enumeration Date
08/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
25053 Country Street 2540
City
Fort Cobb
State
Oklahoma
Zip
73038
Phone Number
405-439-1589
Fax Number
person
Provider Business Mailing Address Details
Address
25053 Country Street 2540
City
Fort Cobb
State
Oklahoma
Zip
73038
Phone Number
405-439-1589
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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