person
Leslie Dawn Goodman
Peer Specialist in Konawa, Oklahoma
NPI 1619565017

Leslie Dawn Goodman is a Peer Specialist based in Konawa, OK. Leslie Dawn Goodman practices in Konawa, OK. The NPI Number for Leslie Dawn Goodman is 1619565017 and holds a License No. (Oklahoma).

The current practice location address for Leslie Dawn Goodman is 14430 Ns 3500, Konawa, OK and can be reached out via phone at 580-925-2650.

Location: 14430 Ns 3500, Konawa, OK, 74849-4901
person
Provider Profile Details
NPI Number
1619565017
Provider Name
Leslie Dawn Goodman
Credential
Provider Entity Type
Individual
Gender
Female
Address
14430 Ns 3500, Konawa, OK, 74849-4901
Phone Number
580-925-2650
Fax Number
Provider Enumeration Date
01/02/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01 01 VALLIANT HOUSE
institution
Provider Business Practice Location Address Details
Address
14430 Ns 3500
City
State
Zip
74849-4901
Phone Number
580-925-2650
Fax Number
person
Provider Business Mailing Address Details
Address
14430 Ns 3500
City
State
Zip
74849-4901
Phone Number
580-925-2650
Fax Number
person
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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