Elexas Nicole Potter - Ponca City, OK

Elexas Nicole Potter

Peer Specialist in Ponca City, Oklahoma

NPI 1578254892

Elexas Nicole Potter is a Peer Specialist based in Ponca City, OK. Elexas Nicole Potter practices in Ponca City, OK. The NPI Number for Elexas Nicole Potter is 1578254892 and holds a License No. (Oklahoma).

The current practice location address for Elexas Nicole Potter is 407 W South Ave, Ponca City, OK and can be reached out via phone at 580-749-5056.

Location: 407 W South Ave, Ponca City, OK, 74601-6133

NPI Number

1578254892

Provider Name

Elexas Nicole Potter

Credential

Provider Entity Type

Individual

Gender

Female

Address

407 W South Ave, Ponca City, OK, 74601-6133

Phone Number

580-749-5056

Fax Number

Provider Enumeration Date

05/17/2023

Last Update Date

03/10/2024

Address

407 W South Ave

City

Ponca City

State

Oklahoma

Zip

74601-6133

Phone Number

580-749-5056

Fax Number

Address

407 W South Ave

City

Ponca City

State

Oklahoma

Zip

74601-6133

Phone Number

580-749-5056

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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