David Eagle SR. - Ponca City, OK

David Eagle SR.

Peer Specialist in Ponca City, Oklahoma

NPI 1588339584

David Eagle SR. is a Peer Specialist based in Ponca City, OK. David Eagle SR. practices in Ponca City, OK. The NPI Number for David Eagle SR. is 1588339584 and holds a License No. (Oklahoma).

The current practice location address for David Eagle SR. is 210 Starting Point Dr, Ponca City, OK and can be reached out via phone at 580-762-6617.

Location: 210 Starting Point Dr, Ponca City, OK, 74601-8308

NPI Number

1588339584

Provider Name

David Eagle SR.

Credential

Provider Entity Type

Individual

Gender

Male

Address

210 Starting Point Dr, Ponca City, OK, 74601-8308

Phone Number

580-762-6617

Fax Number

Provider Enumeration Date

08/11/2021

Last Update Date

03/10/2024

Address

210 Starting Point Dr

City

Ponca City

State

Oklahoma

Zip

74601-8308

Phone Number

580-762-6617

Fax Number

Address

210 Starting Point Dr

City

Ponca City

State

Oklahoma

Zip

74601-8308

Phone Number

580-762-6617

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

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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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