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Michael Thomas Miller
Peer Specialist in Mustang, Oklahoma
NPI 1710764212

Michael Thomas Miller is a Peer Specialist based in Mustang, OK. Michael Thomas Miller practices in Mustang, OK. The NPI Number for Michael Thomas Miller is 1710764212 and holds a License No. (Oklahoma).

The current practice location address for Michael Thomas Miller is 1750 W Sw 59Th St, Mustang, OK and can be reached out via phone at 405-802-4746.

Location: 1750 W Sw 59Th St, Mustang, OK, 73064-2298
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710764212
Provider Name
Michael Thomas Miller
Credential
Provider Entity Type
Individual
Gender
Male
Address
1750 W Sw 59Th St, Mustang, OK, 73064-2298
Phone Number
405-802-4746
Fax Number
Provider Enumeration Date
09/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1750 W Sw 59Th St
City
Mustang
State
Oklahoma
Zip
73064-2298
Phone Number
405-802-4746
Fax Number
person
Provider Business Mailing Address Details
Address
1750 W Sw 59Th St
City
Mustang
State
Oklahoma
Zip
73064-2298
Phone Number
405-802-4746
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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