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Ms. Ladonna Fern Haven
Peer Specialist in Blackwell, Oklahoma
NPI 1609574946

Ladonna Fern Haven is a Peer Specialist based in Blackwell, OK. Ladonna Fern Haven practices in Blackwell, OK. The NPI Number for Ladonna Fern Haven is 1609574946 and holds a License No. (Oklahoma).

The current practice location address for Ladonna Fern Haven is 1313 W Ferguson Ave, Blackwell, OK and can be reached out via phone at 539-242-3322.

Location: 1313 W Ferguson Ave, Blackwell, OK, 74631-5604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609574946
Provider Name
Ladonna Fern Haven
Credential
Provider Entity Type
Individual
Gender
Female
Address
1313 W Ferguson Ave, Blackwell, OK, 74631-5604
Phone Number
539-242-3322
Fax Number
Provider Enumeration Date
02/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1313 W Ferguson Ave
City
Blackwell
State
Oklahoma
Zip
74631-5604
Phone Number
539-242-3322
Fax Number
person
Provider Business Mailing Address Details
Address
1313 W Ferguson Ave
City
Blackwell
State
Oklahoma
Zip
74631-5604
Phone Number
539-242-3322
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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