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Mr. Griffith Mark Roach
Peer Specialist in Broken Arrow, Oklahoma
NPI 1679359491

Griffith Mark Roach is a Peer Specialist based in Broken Arrow, OK. Griffith Mark Roach practices in Broken Arrow, OK. The NPI Number for Griffith Mark Roach is 1679359491 and holds a License No. (Oklahoma).

The current practice location address for Griffith Mark Roach is 109 S 9Th St Apt 101, Broken Arrow, OK and can be reached out via phone at 918-982-1973.

Location: 109 S 9Th St Apt 101, Broken Arrow, OK, 74012-4227
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679359491
Provider Name
Griffith Mark Roach
Credential
Provider Entity Type
Individual
Gender
Male
Address
109 S 9Th St Apt 101, Broken Arrow, OK, 74012-4227
Phone Number
918-982-1973
Fax Number
Provider Enumeration Date
09/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
109 S 9Th St Apt 101
City
Broken Arrow
State
Oklahoma
Zip
74012-4227
Phone Number
918-982-1973
Fax Number
person
Provider Business Mailing Address Details
Address
109 S 9Th St Apt 101
City
Broken Arrow
State
Oklahoma
Zip
74012-4227
Phone Number
918-982-1973
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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