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Travis Jerod Taylor
Peer Specialist in Purcell, Oklahoma
NPI 1659935872

Travis Jerod Taylor is a Peer Specialist based in Edmond, OK. Travis Jerod Taylor practices in Purcell, OK. The NPI Number for Travis Jerod Taylor is 1659935872 and holds a License No. (Oklahoma).

The current practice location address for Travis Jerod Taylor is 23899 State Highway 74, Purcell, OK and can be reached out via phone at 405-253-3838.

Location: 23899 State Highway 74, Purcell, OK, 73012-6742
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659935872
Provider Name
Travis Jerod Taylor
Credential
Provider Entity Type
Individual
Gender
Male
Address
23899 State Highway 74, Purcell, OK, 73012-6742
Phone Number
405-253-3838
Fax Number
Provider Enumeration Date
04/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
23899 State Highway 74
City
Purcell
State
Oklahoma
Zip
73080-6964
Phone Number
405-253-3838
Fax Number
person
Provider Business Mailing Address Details
Address
23899 State Highway 74
City
Purcell
State
Oklahoma
Zip
73080-6964
Phone Number
405-253-3838
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.
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