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Annette Glass
Peer Specialist in Grove, Oklahoma
NPI 1689449142

Annette Glass is a Peer Specialist based in Grove, OK. Annette Glass practices in Grove, OK. The NPI Number for Annette Glass is 1689449142 and holds a License No. 73-1022204 (Oklahoma).

The current practice location address for Annette Glass is 32300 S. 625 Rd., Grove, OK and can be reached out via phone at 918-787-2242 and via fax at 918-674-5041.

Location: 32300 S. 625 Rd., Grove, OK, 74344-5440
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689449142
Provider Name
Annette Glass
Credential
Provider Entity Type
Individual
Gender
Female
Address
32300 S. 625 Rd., Grove, OK, 74344-5440
Phone Number
918-787-2242
Fax Number
918-674-5041
Provider Enumeration Date
11/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
32300 S. 625 Rd.
City
Grove
State
Oklahoma
Zip
74344
Phone Number
918-787-2242
Fax Number
918-674-5041
person
Provider Business Mailing Address Details
Address
32300 S. 625 Rd.
City
Grove
State
Oklahoma
Zip
74344
Phone Number
918-787-2242
Fax Number
918-674-5041
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
73-1022204 (Oklahoma)
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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