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Harold Ray Jenkins
Peer Specialist in Braggs, Oklahoma
NPI 1710475645

Harold Ray Jenkins is a Peer Specialist based in Braggs, OK. Harold Ray Jenkins practices in Braggs, OK. The NPI Number for Harold Ray Jenkins is 1710475645 and holds a License No. (Oklahoma).

The current practice location address for Harold Ray Jenkins is 400 Madison St., Braggs, OK and can be reached out via phone at 918-577-5552.

Location: 400 Madison St., Braggs, OK, 74423-0335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710475645
Provider Name
Harold Ray Jenkins
Credential
Provider Entity Type
Individual
Gender
Male
Address
400 Madison St., Braggs, OK, 74423-0335
Phone Number
918-577-5552
Fax Number
Provider Enumeration Date
04/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 Madison St.
City
Braggs
State
Oklahoma
Zip
74423
Phone Number
918-577-5552
Fax Number
person
Provider Business Mailing Address Details
Address
400 Madison St.
City
Braggs
State
Oklahoma
Zip
74423
Phone Number
918-577-5552
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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