person
Donnie Wade Hicks
Peer Specialist in Oklahoma City, Oklahoma
NPI 1619729902

Donnie Wade Hicks is a Peer Specialist based in Oklahoma City, OK. Donnie Wade Hicks practices in Oklahoma City, OK. The NPI Number for Donnie Wade Hicks is 1619729902 and holds a License No. (Oklahoma).

The current practice location address for Donnie Wade Hicks is 1501 Ne 11Th St, Oklahoma City, OK and can be reached out via phone at 405-230-1136 and via fax at 405-424-1198.

Location: 1501 Ne 11Th St, Oklahoma City, OK, 73117-2605
person
Provider Profile Details
NPI Number
1619729902
Provider Name
Donnie Wade Hicks
Credential
Provider Entity Type
Individual
Gender
Male
Address
1501 Ne 11Th St, Oklahoma City, OK, 73117-2605
Phone Number
405-230-1136
Fax Number
405-424-1198
Provider Enumeration Date
04/02/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1501 Ne 11Th St
City
State
Zip
73117-2605
Phone Number
405-230-1136
Fax Number
405-424-1198
person
Provider Business Mailing Address Details
Address
1501 Ne 11Th St
City
State
Zip
73117-2605
Phone Number
405-230-1136
Fax Number
405-424-1198
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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