person
Jerry Ray Nichols
Peer Specialist in Claremore, Oklahoma
NPI 1669043386

Jerry Ray Nichols is a Peer Specialist based in Claremore, OK. Jerry Ray Nichols practices in Claremore, OK. The NPI Number for Jerry Ray Nichols is 1669043386 and holds a License No. (Oklahoma).

The current practice location address for Jerry Ray Nichols is 1402 N Florence Ave Ste B, Claremore, OK and can be reached out via phone at 918-608-0380.

Location: 1402 N Florence Ave Ste B, Claremore, OK, 74019-7504
person
Provider Profile Details
NPI Number
1669043386
Provider Name
Jerry Ray Nichols
Credential
Provider Entity Type
Individual
Gender
Male
Address
1402 N Florence Ave Ste B, Claremore, OK, 74019-7504
Phone Number
918-608-0380
Fax Number
Provider Enumeration Date
07/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1402 N Florence Ave Ste B
City
State
Zip
74017-3159
Phone Number
918-608-0380
Fax Number
person
Provider Business Mailing Address Details
Address
1402 N Florence Ave Ste B
City
State
Zip
74017-3159
Phone Number
918-608-0380
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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