person
Amanda Leeann Moore, GED
Peer Specialist in Wagoner, Oklahoma
NPI 1649056136

Amanda Leeann Moore is a Peer Specialist based in Wagoner, OK. Amanda Leeann Moore practices in Wagoner, OK and has the professional credentials of GED. The NPI Number for Amanda Leeann Moore is 1649056136 and holds a License No. (Oklahoma).

The current practice location address for Amanda Leeann Moore is 215 Ne 1St St, Wagoner, OK and can be reached out via phone at 918-201-4333.

Location: 215 Ne 1St St, Wagoner, OK, 74467-2713
person
Provider Profile Details
NPI Number
1649056136
Provider Name
Amanda Leeann Moore
Credential
GED
Provider Entity Type
Individual
Gender
Female
Address
215 Ne 1St St, Wagoner, OK, 74467-2713
Phone Number
918-201-4333
Fax Number
Provider Enumeration Date
08/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
215 Ne 1St St
City
State
Zip
74467-4439
Phone Number
918-201-4333
Fax Number
person
Provider Business Mailing Address Details
Address
215 Ne 1St St
City
State
Zip
74467-4439
Phone Number
918-201-4333
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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