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Skyler Wilson Rose
Mental Health Clinic/Center (Including Community Mental Health Center) in Tahlequah, Oklahoma
NPI 1639863822

Skyler Wilson Rose is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Tahlequah, OK and is specialized in Mental Health (Including Community Mental Health Center). Skyler Wilson Rose practices in Tahlequah, OK. The NPI Number for Skyler Wilson Rose is 1639863822 and holds a License No. (Oklahoma).

The current practice location address for Skyler Wilson Rose is 711 S Muskogee Ave, Tahlequah, OK and can be reached out via phone at 918-207-0078.

Location: 711 S Muskogee Ave, Tahlequah, OK, 74464-4717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639863822
Provider Name
Skyler Wilson Rose
Credential
Provider Entity Type
Individual
Gender
Male
Address
711 S Muskogee Ave, Tahlequah, OK, 74464-4717
Phone Number
918-207-0078
Fax Number
Provider Enumeration Date
06/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
711 S Muskogee Ave
City
Tahlequah
State
Oklahoma
Zip
74464-4717
Phone Number
918-207-0078
Fax Number
person
Provider Business Mailing Address Details
Address
711 S Muskogee Ave
City
Tahlequah
State
Oklahoma
Zip
74464-4717
Phone Number
918-207-0078
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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