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Angela Ray Proctor
Peer Specialist in Cleveland, Oklahoma
NPI 1710554290

Angela Ray Proctor is a Peer Specialist based in Cleveland, OK. Angela Ray Proctor practices in Cleveland, OK. The NPI Number for Angela Ray Proctor is 1710554290 and holds a License No. (Oklahoma).

The current practice location address for Angela Ray Proctor is 907 W Caddo St, Cleveland, OK and can be reached out via phone at 918-308-5511.

Location: 907 W Caddo St, Cleveland, OK, 74020-4201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710554290
Provider Name
Angela Ray Proctor
Credential
Provider Entity Type
Individual
Gender
Female
Address
907 W Caddo St, Cleveland, OK, 74020-4201
Phone Number
918-308-5511
Fax Number
Provider Enumeration Date
06/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
907 W Caddo St
City
Cleveland
State
Oklahoma
Zip
74020-4201
Phone Number
918-308-5511
Fax Number
person
Provider Business Mailing Address Details
Address
907 W Caddo St
City
Cleveland
State
Oklahoma
Zip
74020-4201
Phone Number
918-308-5511
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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