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Matthew G Grissom
Peer Specialist in Park Hill, Oklahoma
NPI 1588357420

Matthew G Grissom is a Peer Specialist based in Park Hill, OK. Matthew G Grissom practices in Park Hill, OK. The NPI Number for Matthew G Grissom is 1588357420 and holds a License No. (Oklahoma).

The current practice location address for Matthew G Grissom is 28232 S 547 Rd, Park Hill, OK and can be reached out via phone at 239-900-4326.

Location: 28232 S 547 Rd, Park Hill, OK, 74451-2866
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588357420
Provider Name
Matthew G Grissom
Credential
Provider Entity Type
Individual
Gender
Male
Address
28232 S 547 Rd, Park Hill, OK, 74451-2866
Phone Number
239-900-4326
Fax Number
Provider Enumeration Date
05/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
28232 S 547 Rd
City
Park Hill
State
Oklahoma
Zip
74451-2866
Phone Number
239-900-4326
Fax Number
person
Provider Business Mailing Address Details
Address
28232 S 547 Rd
City
Park Hill
State
Oklahoma
Zip
74451-2866
Phone Number
239-900-4326
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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