Michelle Gann is a Peer Specialist based in Ponca City, OK. Michelle Gann practices in Ponca City, OK. The NPI Number for Michelle Gann is 1609643634 and holds a License No. (Oklahoma).
The current practice location address for Michelle Gann is 618 E Hartford Ave, Ponca City, OK and can be reached out via phone at 580-686-0202.
Location: 618 E Hartford Ave, Ponca City, OK, 74602-0182
Provider Profile Details
NPI Number
1609643634
Provider Name
Michelle Gann
Credential
Provider Entity Type
Individual
Gender
Female
Address
618 E Hartford Ave, Ponca City, OK, 74602-0182
Phone Number
580-686-0202
Fax Number
Provider Enumeration Date
12/11/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
618 E Hartford Ave
City
State
Zip
74601-2005
Phone Number
580-686-0202
Fax Number
Provider Business Mailing Address Details
Address
618 E Hartford Ave
City
State
Zip
74601-2005
Phone Number
580-686-0202
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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