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Ms. Katelynn Jordan Churches
Peer Specialist in Tahlequah, Oklahoma
NPI 1699439604

Katelynn Jordan Churches is a Peer Specialist based in Tahlequah, OK. Katelynn Jordan Churches practices in Tahlequah, OK. The NPI Number for Katelynn Jordan Churches is 1699439604 and holds a License No. (Oklahoma).

The current practice location address for Katelynn Jordan Churches is 118 W Keetoowah St, Tahlequah, OK and can be reached out via phone at 918-201-4333. You can also correspond with Katelynn Jordan Churches through the mailing address at 1646 STERN RD LOT 14, TAHLEQUAH, OK - 74464-6522 (mailing address contact number: 918-871-7312).

Location: 118 W Keetoowah St, Tahlequah, OK, 74464-6522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699439604
Provider Name
Katelynn Jordan Churches
Credential
Provider Entity Type
Individual
Gender
Female
Address
118 W Keetoowah St, Tahlequah, OK, 74464-6522
Phone Number
918-201-4333
Fax Number
Provider Enumeration Date
10/26/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1134704489 05 OK
institution
Provider Business Practice Location Address Details
Address
118 W Keetoowah St
City
Tahlequah
State
Oklahoma
Zip
74464-3820
Phone Number
918-201-4333
Fax Number
person
Provider Business Mailing Address Details
Address
118 W Keetoowah St
City
Tahlequah
State
Oklahoma
Zip
74464-3820
Phone Number
918-201-4333
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(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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